Provider Demographics
NPI:1437919818
Name:ROBINSON-PIERRE, LEONA ANNTONETTE
Entity Type:Individual
Prefix:MRS
First Name:LEONA
Middle Name:ANNTONETTE
Last Name:ROBINSON-PIERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 CASTILE RD SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-3847
Mailing Address - Country:US
Mailing Address - Phone:954-683-2799
Mailing Address - Fax:
Practice Address - Street 1:1074 CASTILE RD SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-3847
Practice Address - Country:US
Practice Address - Phone:954-683-2799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
FLISW173821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker