Provider Demographics
NPI:1578089348
Name:COULTER, LEANNA N (LPC)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:N
Last Name:COULTER
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 1:831 LANDA ST STE C
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6116
Mailing Address - Country:US
Mailing Address - Phone:830-464-4774
Mailing Address - Fax:
Practice Address - Street 1:831 LANDA ST STE C
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6116
Practice Address - Country:US
Practice Address - Phone:830-464-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71387101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional