Leesha London
Individual provider Active NPI Counselor · Trenton, FL
NPI 1265950810 · NPPES record last updated Sep 5, 2017
Key facts
- NPI
- 1265950810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 728 NE 7TH Street
Trenton, FL 32693 - Phone
- (352) 487-0064
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Behavioral Healthcare, Inc. | Past | Accepting new patients | |
| Meridian Behavioral Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
728 NE 7TH Street
Trenton, FL 32693
Mailing address
4300 SW 13TH Street
Gainesville, FL 32608-4006
Phone (352) 374-5600
Other providers in Trenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2017. 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.