Provider Demographics
NPI:1801506845
Name:DEVOE, LEANA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LEANA
Middle Name:
Last Name:DEVOE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:LEANA
Other - Middle Name:
Other - Last Name:LEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:21 CANON DR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7511
Mailing Address - Country:US
Mailing Address - Phone:917-525-6873
Mailing Address - Fax:
Practice Address - Street 1:21 CANON DR
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7511
Practice Address - Country:US
Practice Address - Phone:917-525-6873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008355101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health