Provider Demographics
NPI:1225620727
Name:CUMMINS, LEAH MASON (LPC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MASON
Last Name:CUMMINS
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 1:4407 BEE CAVES RD STE 422
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6406
Mailing Address - Country:US
Mailing Address - Phone:512-469-0535
Mailing Address - Fax:512-387-3515
Practice Address - Street 1:4407 BEE CAVES RD STE 422
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6406
Practice Address - Country:US
Practice Address - Phone:512-469-0535
Practice Address - Fax:512-387-3515
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78804101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional