Provider Demographics
NPI:1508422577
Name:GARCEAU, LETICIA ANNE (LPC , CSAT CANDIDATE)
Entity Type:Individual
Prefix:
First Name:LETICIA
Middle Name:ANNE
Last Name:GARCEAU
Suffix:
Gender:F
Credentials:LPC , CSAT CANDIDATE
Other - Prefix:
Other - First Name:TISH
Other - Middle Name:
Other - Last Name:GARCEU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6242 ORAM ST APT D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-6252
Mailing Address - Country:US
Mailing Address - Phone:214-284-9393
Mailing Address - Fax:
Practice Address - Street 1:17101 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1331
Practice Address - Country:US
Practice Address - Phone:972-538-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty