Provider Demographics
NPI:1790340164
Name:ALANAH LEGER LCSW LLC
Entity Type:Organization
Organization Name:ALANAH LEGER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:337-351-1862
Mailing Address - Street 1:12513 AUBE DR
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-6426
Mailing Address - Country:US
Mailing Address - Phone:337-351-1862
Mailing Address - Fax:337-351-1862
Practice Address - Street 1:100 THOMAS ST STE 6
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4524
Practice Address - Country:US
Practice Address - Phone:337-351-1862
Practice Address - Fax:337-590-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1538662879OtherINDIVIDUAL NPI