Provider Demographics
NPI:1336035054
Name:DE LEON, NELENDY (LPC)
Entity type:Individual
Prefix:
First Name:NELENDY
Middle Name:
Last Name:DE LEON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 PENNSYLVANIA AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3521
Mailing Address - Country:US
Mailing Address - Phone:215-416-2314
Mailing Address - Fax:
Practice Address - Street 1:2201 PENNSYLVANIA AVE APT 101
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3521
Practice Address - Country:US
Practice Address - Phone:215-416-2314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional