MEDICARE: LEIGH CUMMINS-HOLLOMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH28841	FL

General Provider Information

NPI Number	:	1497603765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH CUMMINS-HOLLOMAN

Provider Business Mailing Address
First Line	:	2682 AULD SCOT BLVD
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-8922
Country	:	US
Telephone Number	:	407-851-5121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1193 BLACKWOOD AVE
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4518
Country	:	US
Telephone Number	:	407-851-5121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ LEIGH CUMMINS-HOLLOMAN ” Practice Location

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