TIA BURNS LEABU MHP NPI 1922658384

NPI Information

NPI: 1922658384
Provider Name: TIA BURNS LEABU, MHP
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1016 S MADISON ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-4357
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Tia Burns Leabu, MHP is a counselor in Du Quoin, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tia Burns Leabu, MHP NPI is 1922658384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1016 S MADISON ST
DU QUOIN, IL
ZIP 62832-442
Phone: (618) 542-4357
Fax: (618) 542-3442

The enumeration date for this NPI number is 9/18/2019 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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