Provider Demographics
NPI:1518512896
Name:LEONARDI, LAUREN M (LMHC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21585 TOLEDO RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3511
Mailing Address - Country:US
Mailing Address - Phone:954-303-9817
Mailing Address - Fax:
Practice Address - Street 1:400 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-4087
Practice Address - Country:US
Practice Address - Phone:754-444-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health