Provider Demographics
NPI:1437048493
Name:LEIBE CORNELIA HOOVES TO HEALING (LCH2H)
Entity type:Organization
Organization Name:LEIBE CORNELIA HOOVES TO HEALING (LCH2H)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUONAMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-219-0097
Mailing Address - Street 1:5938 HOVAN AVE
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33565-3593
Mailing Address - Country:US
Mailing Address - Phone:813-219-0097
Mailing Address - Fax:
Practice Address - Street 1:5938 HOVAN AVE
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33565-3593
Practice Address - Country:US
Practice Address - Phone:813-219-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy