MEDICARE: LEANDRA MONAE PECINA LPC

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	101YP2500X	Professional Counselor	88251	TX

General Provider Information

NPI Number	:	1720856263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANDRA MONAE PECINA LPC

Provider Business Mailing Address
First Line	:	1501 W BEAUREGARD AVE
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76901-4004
Country	:	US
Telephone Number	:	325-658-7750
Fax Number	:	325-658-8381

Provider Business Practice Location Address
First Line	:	424 S OAKES ST
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-5944
Country	:	US
Telephone Number	:	325-658-7750
Fax Number	:	325-658-8381

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

Provider Enumeration Date	:	12/14/2023
Last Update Date	:	12/08/2025

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