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NPI Code Detail

MEDICARE: MRS. BEATRICE LEVERT LPC

MEDICARE:  MRS. BEATRICE  LEVERT  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
1101YM0800XMental Health Counselor1924LA

General Provider Information

NPI Number : 1841566254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BEATRICE LEVERT LPC
Provider Business Mailing Address
First Line : 113 CHRISTIAN LN
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1350
Country : US
Telephone Number : 985-781-7353
Fax Number : 985-781-7354
Provider Business Practice Location Address
First Line : 113 CHRISTIAN LN
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1350
Country : US
Telephone Number : 985-781-7353
Fax Number : 985-781-7354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2012
Last Update Date : 03/29/2012

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Directions to “ MRS. BEATRICE LEVERT LPC” Practice Location

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