Mr Eric Ray Leever, LMHC | |
314 N.w. Bethany Dr, Port St. Lucie, FL 34986 | |
(772) 284-6030 | |
(772) 252-5746 |
Full Name | Mr Eric Ray Leever |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 314 N.w. Bethany Dr, Port St. Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699962068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH10303 (Florida) | Primary |
Entity Name | Change Of Mind Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811443195 PECOS PAC ID: 4284971672 Enrollment ID: O20190123001743 |
Mailing Address | Practice Location Address |
---|---|
Mr Eric Ray Leever, LMHC 314 N.w. Bethany Dr, Port St. Lucie, FL 34986 Ph: (772) 284-6030 | Mr Eric Ray Leever, LMHC 314 N.w. Bethany Dr, Port St. Lucie, FL 34986 Ph: (772) 284-6030 |
Mrs. Alexandra Runde, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 St. Lucie West Blvd., Suite 201, Port St. Lucie, FL 34986 Phone: 772-812-0292 Fax: 772-878-7218 | |
Sara Schwarz-snell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 Prima Vista Blvd., Port St. Lucie, FL 34983 Phone: 772-257-5265 | |
Mrs. Nitza Esther Roman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Del Sol, Port St. Lucie, FL 34952 Phone: 772-323-3338 |