Provider Demographics
NPI:1326573205
Name:HUERTA, VIOLETA LEYVA (LPC)
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:LEYVA
Last Name:HUERTA
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 1:6909 W RAY RD
Mailing Address - Street 2:15-148
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-1699
Mailing Address - Country:US
Mailing Address - Phone:480-712-8201
Mailing Address - Fax:480-721-8201
Practice Address - Street 1:6909 W RAY RD
Practice Address - Street 2:15-148
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-1699
Practice Address - Country:US
Practice Address - Phone:480-712-8201
Practice Address - Fax:480-721-8201
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16733101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional