Healthcare Provider Details

I. General information

NPI: 1427983410
Provider Name (Legal Business Name): MARLINE LEFEUVRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 NW 26TH PL
SUNRISE FL
33322-2918
US

IV. Provider business mailing address

8400 NW 26TH PL
SUNRISE FL
33322-2918
US

V. Phone/Fax

Practice location:
  • Phone: 754-234-1843
  • Fax: 754-234-1843
Mailing address:
  • Phone: 754-234-1843
  • Fax: 754-234-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH25772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: