Provider Demographics
NPI:1275142234
Name:LEANN DEHOFF, PHD, LMHC, INC.
Entity Type:Organization
Organization Name:LEANN DEHOFF, PHD, LMHC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-860-3742
Mailing Address - Street 1:150 S PINE ISLAND ROAD
Mailing Address - Street 2:SUITE 300, UNIT 94
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-860-3742
Mailing Address - Fax:954-901-2767
Practice Address - Street 1:150 S PINE ISLAND ROAD
Practice Address - Street 2:SUITE 300, UNIT 94
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-860-3742
Practice Address - Fax:954-901-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health