Healthcare Provider Details
I. General information
NPI: 1962586891
Provider Name (Legal Business Name): JANE S LE VIEUX PH.D., R.N., L.P.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5068 W PLANO PKWY SUITE 300
PLANO TX
75093-4408
US
IV. Provider business mailing address
2917 BOOKHOUT ST
DALLAS TX
75201-1101
US
V. Phone/Fax
- Phone: 972-447-8224
- Fax:
- Phone: 214-796-8448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 12277 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| License Number | 45973 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: