Provider Demographics
NPI:1134491772
Name:HARLEAUX-MOORE, LEVILLIA ROCHELLE (LMSW, BSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:LEVILLIA
Middle Name:ROCHELLE
Last Name:HARLEAUX-MOORE
Suffix:
Gender:F
Credentials:LMSW, BSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-3304
Mailing Address - Country:US
Mailing Address - Phone:225-216-1280
Mailing Address - Fax:225-757-6426
Practice Address - Street 1:4725 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-3304
Practice Address - Country:US
Practice Address - Phone:225-216-1280
Practice Address - Fax:225-757-6426
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4864104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker