MEDICARE: BEATRIZ LEDAY

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	95444	TX

General Provider Information

NPI Number	:	1760225049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ LEDAY

Provider Business Mailing Address
First Line	:	3229 MESA VERDE LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3012
Country	:	US
Telephone Number	:	915-525-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 MESA VERDE LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3012
Country	:	US
Telephone Number	:	915-525-3505
Fax Number	:

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

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	06/14/2024

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Directions to “ BEATRIZ LEDAY ” Practice Location

Language	Start Address	Practice Location

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