Provider Demographics
NPI:1083817092
Name:NEVES, LEIGH CHARLEEN (LPC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:CHARLEEN
Last Name:NEVES
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 1:5101 S COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756-8563
Mailing Address - Country:US
Mailing Address - Phone:432-940-4029
Mailing Address - Fax:
Practice Address - Street 1:5101 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-8563
Practice Address - Country:US
Practice Address - Phone:432-940-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61085101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor