Provider Demographics
NPI:1801443312
Name:CARLINA LEON LLC
Entity type:Organization
Organization Name:CARLINA LEON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLINA
Authorized Official - Middle Name:DESIREE
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:917-910-8474
Mailing Address - Street 1:80 5TH AVE RM 903
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7611
Mailing Address - Country:US
Mailing Address - Phone:212-683-7327
Mailing Address - Fax:
Practice Address - Street 1:602 W 146TH ST APT 22
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4309
Practice Address - Country:US
Practice Address - Phone:212-683-7327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty