TARA BLEAKLEY, LPC

Counselor - Mental Health

Active Individual
NPI: 1174961635

Practice Address

100 INNWOOD DR STE A
Covington, LA 70433

Phone: (985) 400-9552

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X No 4706 (LA)
Counselor - Mental Health 101YM0800X Yes 4706 (LA)

Frequently Asked Questions

NPI 1174961635 is the National Provider Identifier for TARA BLEAKLEY, LPC, a Counselor - Mental Health provider located in Covington, LA. This NPI was enumerated on June 6, 2013.
TARA BLEAKLEY, LPC practices at 100 INNWOOD DR STE A, Covington, LA 70433.

Quick Facts

NPI
1174961635
Type
Individual
Enumerated
Jun 6, 2013
Last Updated
Oct 10, 2019

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