Provider Demographics
NPI:1982934550
Name:ESPINOSA, LEYDI (BA)
Entity Type:Individual
Prefix:
First Name:LEYDI
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21472 SW 91ST AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3848
Mailing Address - Country:US
Mailing Address - Phone:305-588-2271
Mailing Address - Fax:
Practice Address - Street 1:21472 SW 91ST AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3848
Practice Address - Country:US
Practice Address - Phone:305-588-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker