Healthcare Provider Details

I. General information

NPI: 1477418911
Provider Name (Legal Business Name): JENNY MERCIER LEVESQUE LPC, LCDC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5217 VILLAGE CREEK DR
PLANO TX
75093-4416
US

IV. Provider business mailing address

5217 VILLAGE CREEK DR
PLANO TX
75093-4416
US

V. Phone/Fax

Practice location:
  • Phone: 469-904-1071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22460
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number95787
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17568
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: