Provider Demographics
NPI:1427379908
Name:LEONARD, DAWN RENEE (RMHCI)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:RENEE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17729 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:REDINGTON SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33708-1217
Mailing Address - Country:US
Mailing Address - Phone:727-488-2928
Mailing Address - Fax:
Practice Address - Street 1:8800 49TH ST. N. SUITE 212
Practice Address - Street 2:ADOPTION RELATED SERVICES
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782
Practice Address - Country:US
Practice Address - Phone:727-656-5458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 8258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health