MEDICARE: LEONARD AND ASSOCIATES COUNSELING SERVICES

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

General Provider Information

NPI Number	:	1639954746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONARD AND ASSOCIATES COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	1405 HUEY P LONG AVE
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70053-6435
Country	:	US
Telephone Number	:	504-321-3496
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 HUEY P LONG AVE
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70053-6435
Country	:	US
Telephone Number	:	504-321-3496
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MARCUS L CROSBY
Credential	:	LPC, NCC
Telephone Number	:	504-321-3496

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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