MEDICARE: LEYA HARTMAN

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

General Provider Information

NPI Number	:	1831943778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYA HARTMAN

Provider Business Mailing Address
First Line	:	366 STOCKTON ST APT 602
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-5970
Country	:	US
Telephone Number	:	720-955-1826
Fax Number	:

Provider Business Practice Location Address
First Line	:	366 STOCKTON ST APT 602
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-5970
Country	:	US
Telephone Number	:	720-955-1826
Fax Number	:

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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Directions to “ LEYA HARTMAN ” Practice Location

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