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NPI Code Detail

MEDICARE: MRS. CAROLINA LEON MS, LMHC, LMFT

MEDICARE:  MRS. CAROLINA  LEON  MS, LMHC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH14875FL
2106H00000XMarriage & Family TherapistMT3589FL
3222Q00000XDevelopmental TherapistFL

Other Identifiers

General Provider Information

NPI Number : 1831224393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINA LEON MS, LMHC, LMFT
Provider Business Mailing Address
First Line : 823 NW 208TH TER
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2142
Country : US
Telephone Number : 954-559-0011
Fax Number :
Provider Business Practice Location Address
First Line : 823 NW 208TH TER
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2142
Country : US
Telephone Number : 954-559-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 03/17/2020

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Directions to “ MRS. CAROLINA LEON MS, LMHC, LMFT” Practice Location

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