Provider Demographics
NPI:1225154230
Name:HOYT, LEINA L (MFT)
Entity Type:Individual
Prefix:
First Name:LEINA
Middle Name:L
Last Name:HOYT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SPRINGMONT DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-4930
Mailing Address - Country:US
Mailing Address - Phone:916-838-8234
Mailing Address - Fax:
Practice Address - Street 1:111B WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2248
Practice Address - Country:US
Practice Address - Phone:916-838-8234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 42263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health