Provider Demographics
NPI:1144597311
Name:LECKIE, GALELA ANN (MCP LPC)
Entity Type:Individual
Prefix:MRS
First Name:GALELA
Middle Name:ANN
Last Name:LECKIE
Suffix:
Gender:F
Credentials:MCP LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 N GRAND ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-3216
Mailing Address - Country:US
Mailing Address - Phone:580-234-8880
Mailing Address - Fax:580-234-8891
Practice Address - Street 1:529 N GRAND ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-3216
Practice Address - Country:US
Practice Address - Phone:580-234-8880
Practice Address - Fax:580-234-8891
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health