Provider Demographics
NPI:1568229110
Name:STEVEN LECCE LLC
Entity Type:Organization
Organization Name:STEVEN LECCE LLC
Other - Org Name:STEVEN LECCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GINO
Authorized Official - Last Name:LECCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-507-8643
Mailing Address - Street 1:62 WILDER AVE
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090-1323
Mailing Address - Country:US
Mailing Address - Phone:516-507-8643
Mailing Address - Fax:
Practice Address - Street 1:62 WILDER AVE
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090-1323
Practice Address - Country:US
Practice Address - Phone:516-507-8643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty