Healthcare Provider Details

I. General information

NPI: 1861227381
Provider Name (Legal Business Name): LEILA ESME JOHNSON MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 SUNSET DR STE 282
SOUTH MIAMI FL
33143-5369
US

IV. Provider business mailing address

18301 S DIXIE HWY APT 336
PALMETTO BAY FL
33157-5556
US

V. Phone/Fax

Practice location:
  • Phone: 305-763-8132
  • Fax:
Mailing address:
  • Phone: 646-771-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number18440
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number18440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: