Healthcare Provider Details

I. General information

NPI: 1043918030
Provider Name (Legal Business Name): DANICA JOYCE LEBLANC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4357 EASTMINSTER RD
DAVENPORT FL
33837-1811
US

IV. Provider business mailing address

4357 EASTMINSTER RD
DAVENPORT FL
33837-1811
US

V. Phone/Fax

Practice location:
  • Phone: 646-980-9213
  • Fax:
Mailing address:
  • Phone: 646-980-9213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021829
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: