Donna Ledet-Willis

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

VN189282 Issued in CA

Practice address

4335 Atlantic Ave
Long Beach, CA 90807-2803

Phone

(522) 216-4900

Fax

(526) 416-1516

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1467992750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 ELVINS ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151218",
            "telephone_number": "562-225-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072803",
            "telephone_number": "522-216-4900",
            "fax_number": "526-416-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDET-WILLIS",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "VN189282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Leavitt
• Tamia Leblue
• Daisy Lebron, LPC, PSY.D.CANDIDATE
• Cherrie Neitha Lechuga
• Ashley Kathryn Ledda, PSY.D.
• Jessica Ledezma
• Lois Gertrude Ledger, MFT
• Lee G Razalan MD, a Medical Corporation
• Cristina Lee-Castro
• Gin Lee-Hong, MD

• Adult Mental Health Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.