Provider Demographics
NPI:1861533200
Name:LEAL, JOYCE (LPC LADC)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:LEAL
Suffix:
Gender:F
Credentials:LPC LADC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:LEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10001 S PENNSYLVANIA
Mailing Address - Street 2:P 107
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159
Mailing Address - Country:US
Mailing Address - Phone:405-691-1417
Mailing Address - Fax:405-691-1417
Practice Address - Street 1:10001 S PENNSYLVANIA
Practice Address - Street 2:P 107
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159
Practice Address - Country:US
Practice Address - Phone:405-691-1417
Practice Address - Fax:405-691-1417
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK961101Y00000X
OK6101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)