NPI Code Detail JSON Logo

1396618617 NPI number — DEJA KENAE LEONARD ALC

NPI Number: 1396618617
Health Care Provider/Practitioner: DEJA KENAE LEONARD ALC

Information about “1396618617” NPI (DEJA KENAE LEONARD ALC) exists in 1396618617 in HTML format HTML  |  1396618617 in plain Text format TXT  |  1396618617 in PDF (Portable Document Format) PDF  |  1396618617 in an XML format XML  formats.

NPI Number : 1396618617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396618617",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEONARD",
    "FirstName": "DEJA",
    "MiddleName": "KENAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ALC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2031 STARDUST DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSCALOOSA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35405-8448",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-886-4344",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "529 BEACON PKWY W STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35209-3126",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-787-1833",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/24/2025",
    "LastUpdateDate": "09/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "ALC05764",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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