Individual provider · Type 1 NPI

Breunisty Myreal Lee

Counselor · Denham Springs, LA

NPI number 1700772803 Active

Practice location

1992 Florida Ave SW
Denham Springs, LA 70726-4971

Map

Mailing address

1992 Florida Ave
Denham Spring, LA 70726

Other practice locations

  • 1992 Florida Ave, Denham Spring, LA 70726 · (225) 304-6764

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1700772803

Breunisty Myreal Lee's National Provider Identifier is 1700772803, issued on Jun 16, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Denham Springs, LA. The record was last updated on Jun 16, 2025.