Provider Demographics
NPI:1851158976
Name:LEARDINI, CONNOR GIANNI (LPC)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:GIANNI
Last Name:LEARDINI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4645 AVON LN STE 245
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1614
Mailing Address - Country:US
Mailing Address - Phone:972-704-1372
Mailing Address - Fax:972-476-1162
Practice Address - Street 1:4645 AVON LN STE 245
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1614
Practice Address - Country:US
Practice Address - Phone:972-704-1372
Practice Address - Fax:972-476-1162
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional