Ms Eileen Patricia Leveckis, AMFT, APCC | |
1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | |
(707) 634-9077 | |
Not Available |
Full Name | Ms Eileen Patricia Leveckis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1800 Gravenstein Hwy N, Sebastopol, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083292833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8533 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 121758 (California) | Primary |
Entity Name | Siyan Clinical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568732972 PECOS PAC ID: 0042470122 Enrollment ID: O20120327000847 |
Mailing Address | Practice Location Address |
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Ms Eileen Patricia Leveckis, AMFT, APCC 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 Ph: (707) 634-9077 | Ms Eileen Patricia Leveckis, AMFT, APCC 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 Ph: (707) 634-9077 |
Sara Champie, Counselor Medicare: Medicare Enrolled Practice Location: 435 Petaluma Ave Ste 140, Sebastopol, CA 95472 Phone: 707-861-0577 | |
Heather Tidrick, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Gravenstein Hwy N, Sebastopol, CA 95472 Phone: 707-823-7300 | |
Mary Peterson, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Gravenstein Hwy N, Sebastopol, CA 95472 Phone: 707-634-9050 Fax: 707-823-3410 | |
Lauren Foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1534 Hurlbut Ave, Sebastopol, CA 95472 Phone: 707-823-8722 | |
Nancy Salman, Counselor Medicare: Medicare Enrolled Practice Location: 3750 Acreage Ln, Sebastopol, CA 95472 Phone: 707-775-0888 | |
Tara K Farrell, LPCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6914 Sebastopol Ave Ste B, Sebastopol, CA 95472 Phone: 206-488-2143 |