Provider Demographics
NPI:1083808505
Name:LEVERETT, KRISTI (LPC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:LEVERETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HWY 574 WEST
Mailing Address - Street 2:
Mailing Address - City:GOLDTHWAITE
Mailing Address - State:TX
Mailing Address - Zip Code:76844-0549
Mailing Address - Country:US
Mailing Address - Phone:325-938-5518
Mailing Address - Fax:512-310-9991
Practice Address - Street 1:850 HWY 574 WEST
Practice Address - Street 2:
Practice Address - City:GOLDTHWAITE
Practice Address - State:TX
Practice Address - Zip Code:76844-0549
Practice Address - Country:US
Practice Address - Phone:325-938-5518
Practice Address - Fax:512-310-9991
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional