Provider Demographics
NPI:1588412787
Name:LEAPLEY, KEVIN (MA, LPC, CSAT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:LEAPLEY
Suffix:
Gender:M
Credentials:MA, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ROCK DOCK RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-2252
Mailing Address - Country:US
Mailing Address - Phone:303-842-6899
Mailing Address - Fax:
Practice Address - Street 1:106 S HARRIS ST STE 120
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6081
Practice Address - Country:US
Practice Address - Phone:512-856-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional