Healthcare Provider Details

I. General information

NPI: 1124889779
Provider Name (Legal Business Name): LEONA HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 3RD ST STE 21
ELKINS WV
26241-3831
US

IV. Provider business mailing address

108 3RD ST STE 21
ELKINS WV
26241-3831
US

V. Phone/Fax

Practice location:
  • Phone: 304-836-3462
  • Fax:
Mailing address:
  • Phone: 304-836-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084H0002X
TaxonomyHospice and Palliative Medicine (Psychiatry & Neurology) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RHONDA PARKER
Title or Position: OWNER/CLINICIAN
Credential: DNP, APRN, PMHNP-BC
Phone: 304-836-3462