Myles Leblanc
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lincoln Heights, CA
NPI 1194516369 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1194516369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3619 N Mission Rd
Lincoln Heights, CA 90031-3136 - Phone
- (213) 721-0100
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Mailing address
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Other practice location 1
4445 Burns Ave
Los Angeles, CA 90029-2702
Phone (323) 222-1400
Other practice location 2
11027 Burbank Blvd
North Hollywood, CA 91601-2431
Phone (818) 985-8323
Other providers in Lincoln Heights, CA
- Alyssa Johnson
- Rebecca Johnson
- Joel Kesao Karasawa
- Robert Kimball
- Kenneth Laughton Romero
- Michael Lemley
- Phillip Maddox
- Malcolm Mayes
- Adrian Medina
- Olivia Midby
All providers in Lincoln Heights, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.