Provider Demographics
NPI:1558148023
Name:FLORA, LEENA MULLICK
Entity Type:Individual
Prefix:
First Name:LEENA
Middle Name:MULLICK
Last Name:FLORA
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 1:4608 PENN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1309
Mailing Address - Country:US
Mailing Address - Phone:412-621-4757
Mailing Address - Fax:412-621-9784
Practice Address - Street 1:4608 PENN AVE APT 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1309
Practice Address - Country:US
Practice Address - Phone:412-621-4757
Practice Address - Fax:412-621-9784
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician