Ivey, Leigh S.

Ivey, Leigh S. is an individual health care provider with primary practice located at 2323 W Front St , Tyler TX 75702-7704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ivey, Leigh S. can be contacted via phone (903) 597-1351.

Contact Information

Primary practice address
2323 W Front St Tyler TX 75702-7704
Phone: (903) 597-1351
Fax: (903) 535-7386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S14887 Texas

Profile Details

NPI number 1366486649
LBN Legal business name Ivey, Leigh S.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366486649 NPPES
Texas MEDICAID 100896302
Texas Other 800008480
Texas Other 86258A

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