Provider Demographics
NPI:1215653803
Name:B LEVEILLE COUNSELING INC.
Entity type:Organization
Organization Name:B LEVEILLE COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:M LEVEILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-612-6647
Mailing Address - Street 1:665 DENNISON DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-3801
Mailing Address - Country:US
Mailing Address - Phone:508-612-6647
Mailing Address - Fax:508-909-6507
Practice Address - Street 1:665 DENNISON DR
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-3801
Practice Address - Country:US
Practice Address - Phone:508-612-6647
Practice Address - Fax:508-909-6507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health