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Leaunta Bellock

Peer Specialist in New Orleans, LA. Individual provider (NPI-1).

NPI number1063965226
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1063965226
Entity type
Individual (NPI-1)
Name
Leaunta Bellock
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2016
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
222Q00000X Developmental Therapist–LA
222Q00000X Developmental Therapist––

Practice location

201 St.Charles Avenue
Suite 2500
New Orleans, LA 70170

Phone 504-513-0216

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

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