Provider Demographics
NPI:1942920467
Name:LEON, ROSA MARIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:MARIA
Last Name:LEON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:ROSA
Other - Middle Name:MARIA
Other - Last Name:LEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5060 NAPOLI DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8956
Mailing Address - Country:US
Mailing Address - Phone:239-537-5312
Mailing Address - Fax:
Practice Address - Street 1:5060 NAPOLI DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8956
Practice Address - Country:US
Practice Address - Phone:239-537-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9802101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health