Provider Demographics
NPI:1518058528
Name:HOWARD, LEON C II (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:C
Last Name:HOWARD
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 23RD ST
Mailing Address - Street 2:BEHAVIORAL HEALTH
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:330-971-7041
Mailing Address - Fax:330-971-7043
Practice Address - Street 1:1900 23RD ST
Practice Address - Street 2:BEHAVIORAL HEALTH
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223
Practice Address - Country:US
Practice Address - Phone:330-971-7041
Practice Address - Fax:330-971-7043
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008164101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0178763Medicaid