MEDICARE: MS. CATHERINE GEIER LEBEAUX MA, MS, LPC, BC-DMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5772	SC

General Provider Information

NPI Number	:	1184777195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE GEIER LEBEAUX MA, MS, LPC, BC-DMT

Provider Business Mailing Address
First Line	:	1647 PARADISE LAKE DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-5720
Country	:	US
Telephone Number	:	603-852-2009
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 W COLEMAN BLVD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3588
Country	:	US
Telephone Number	:	603-852-2009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	01/29/2019

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