Provider Demographics
NPI:1124307863
Name:O'DONNELL, LEAH ROSA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:ROSA
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:ROSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:67161 THACKERY ST
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6903
Mailing Address - Country:US
Mailing Address - Phone:985-774-8248
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 53038
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70505-3038
Practice Address - Country:US
Practice Address - Phone:985-774-8248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional