Provider Demographics
NPI:1093107039
Name:LEVEILLE, DENIS L (LPC)
Entity Type:Individual
Prefix:DR
First Name:DENIS
Middle Name:L
Last Name:LEVEILLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 SWOPE AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5837
Mailing Address - Country:US
Mailing Address - Phone:719-635-1332
Mailing Address - Fax:719-635-0213
Practice Address - Street 1:328 SWOPE AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5837
Practice Address - Country:US
Practice Address - Phone:719-635-1332
Practice Address - Fax:719-635-0213
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional