Healthcare Provider Details

I. General information

NPI: 1588860001
Provider Name (Legal Business Name): JEFFREY BRIAN LEFTON LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16158 MILITARY TRL
DELRAY BEACH FL
33484-6502
US

IV. Provider business mailing address

6015 ROYAL BIRKDALE DR
LAKE WORTH FL
33463-6524
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-1001
  • Fax: 561-637-1410
Mailing address:
  • Phone: 561-637-1001
  • Fax: 561-637-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3253
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: