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DOMUS LEONUM LLC NPI 1730546862


NPI Information

NPI: 1730546862
Provider Name: DOMUS LEONUM LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1551 FORUM PLACE
BUILDING 400 SUITE D/E
WEST PALM BEACH, FL
ZIP 33401
Phone: (917) 528-0694
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DOMUS LEONUM LLC is an addiction (substance use disorder) counselor in West Palm Beach, FL. DOMUS LEONUM LLC NPI is 1730546862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 FORUM PLACE
BUILDING 400 SUITE D/E
WEST PALM BEACH, FL
ZIP 33401-505
Phone: (917) 528-0694

The provider's authorized official is Arpana Shivdasani .
The authorized official title is Owner and has the following contact phone number (917) 528-0694.

The enumeration date for this NPI number is 1/20/2016 and was last updated on 1/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)ME49592FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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