Provider Demographics
NPI:1417548751
Name:LEON BELL, AHLENA (CASAC)
Entity Type:Individual
Prefix:
First Name:AHLENA
Middle Name:
Last Name:LEON BELL
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ROCKLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5960
Mailing Address - Country:US
Mailing Address - Phone:914-944-5222
Mailing Address - Fax:
Practice Address - Street 1:22 ROCKLEDGE AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5960
Practice Address - Country:US
Practice Address - Phone:914-944-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23482101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)