Active NPIOrganization

Leo Clinic LLC

Clinic/Center, Adult Mental Health in Hartford, Connecticut

NPI Number1134851991
Practice location
54 Forest St, Hartford, CT 06105-3204
Fax
—
Last updated
June 29, 2022

Leo Clinic LLC is a healthcare organization based in Hartford, CT. Leo Clinic LLC practices in Hartford, CT. The NPI Number for Leo Clinic LLC is 1134851991. The current practice location address for Leo Clinic LLC is 54 Forest St, Hartford, CT 06105-3204 and can be reached out via phone at 860-992-5569.

Provider Profile Details

NPI Number
1134851991
Provider Name
Leo Clinic LLC
Provider Entity Type
Organization
Address
54 Forest St, Hartford, CT 06105-3204
Phone Number
860-992-5569
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Carlos Marrero, OWNER · Owner · 860-992-5569
Provider Enumeration Date
June 29, 2022
Last Update Date
June 29, 2022
Certification Date
June 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Forest St
Hartford, CT 06105-3204
Zip
06105-3204
Phone Number
860-992-5569
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
54 Forest St
Hartford, CT 06105-3204
City
Hartford
State
CT
Zip
06105-3204
Phone Number
860-992-5569

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Community/Behavioral Health · 251S00000X
Taxonomy (3)
Clinic/Center, Adult Mental Health · 261QM0850X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leo Clinic LLC?

The NPI number of Leo Clinic LLC is 1134851991. It was assigned on June 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Leo Clinic LLC?

Leo Clinic LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does Leo Clinic LLC practice?

The practice location is 54 Forest St, Hartford, CT 06105-3204. The office can be reached at 860-992-5569 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134851991 directly on the NPPES registry website.

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