Provider Demographics
NPI:1376322743
Name:GARNER CAUSEY, LEILA P (LPC)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:P
Last Name:GARNER CAUSEY
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 1:4864 BOEINGSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-8176
Mailing Address - Country:US
Mailing Address - Phone:901-461-2446
Mailing Address - Fax:
Practice Address - Street 1:620 PARKROSE AVE BLDG C
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-5229
Practice Address - Country:US
Practice Address - Phone:901-610-1696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN219510101YS0200X
TN6680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool