Provider Demographics
NPI:1558095117
Name:DR. HYACYNTHIA M. LEONCE-JAMES, LLC
Entity Type:Organization
Organization Name:DR. HYACYNTHIA M. LEONCE-JAMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HYACYNTHIA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:LEONCE-JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-219-9861
Mailing Address - Street 1:14062 SW 260TH ST APT 107
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6657
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18220 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5502
Practice Address - Country:US
Practice Address - Phone:305-219-9861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty