Ebony Leaks, in College Park, GA - Marriage & Family Therapist

Ebony Leaks, is a Marriage & Family Therapist based in College Park, Georgia. Ebony Leaks is licensed to practice in Georgia (license number ) and her current practice location is 1919 John Wesley Ave, College Park, Georgia. She can be reached at her office (for appointments etc.) via phone at (314) 584-9294.

NPI number for Ebony Leaks is 1871066449 and her current mailing address is 1919 John Wesley Ave, College Park, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871066449.

Contact Information

	Ebony Leaks,
	1919 John Wesley Ave, College Park, GA 30337-3605
	(314) 584-9294
	Not Available

Healthcare Provider's Profile

Full Name	Ebony Leaks
Gender	Female
Speciality	Marriage & Family Therapist
Location	1919 John Wesley Ave, College Park, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1871066449
Provider Enumeration Date: 01/07/2019
Last Update Date: 01/07/2019

Medical Identifiers

Medical identifiers for Ebony Leaks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871066449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Leaks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebony Leaks, 1919 John Wesley Ave, College Park, GA 30337-3605 Ph: () -	Ebony Leaks, 1919 John Wesley Ave, College Park, GA 30337-3605 Ph: (314) 584-9294

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Marriage & Family Therapist in College Park, GA

Dr. Marlo T Rouse, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1800 Phoenix Blvd, College Park, GA 30349 Phone: 770-996-6664
Johnny H White, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190
Monica Catherine Bestawros, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1651 Phoenix Blvd Ste 2, College Park, GA 30349 Phone: 770-997-1738
Julian Wood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190
Mrs. Bridgette Reed, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5534 Old National Highway, Suite 100, College Park, GA 30349 Phone: 470-765-8550
Tedra Perkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9191 Fax: 404-762-9101

Ebony Leaks, - Couples Therapy in College Park, GA