Leo Haywood Shealy, LMHC

NPI #1962024406 in Port St Joe, Florida

Provider Information

NPI Number: 1962024406
Entity Type: Individual
Name: Leo Haywood Shealy, LMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LMHC
Enumeration Date: May 7, 2020
Last Updated: May 7, 2020

Practice Location

Address: 309 WILLIAMS AVE
City: Port St Joe
State: Florida
ZIP Code: 32456-1845
Phone: (850) 896-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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