Provider Demographics
NPI:1598404592
Name:FIGUEROA, LEIGH-ELLEN
Entity Type:Individual
Prefix:
First Name:LEIGH-ELLEN
Middle Name:
Last Name:FIGUEROA
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 1:67 MILTON ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2813
Mailing Address - Country:US
Mailing Address - Phone:413-265-6646
Mailing Address - Fax:
Practice Address - Street 1:67 MILTON ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-2813
Practice Address - Country:US
Practice Address - Phone:413-265-6646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health