DOMUS LEONUM LLC (NPI# 1730546862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730546862 |
| Entity Type | Organization |
| Organization Name | DOMUS LEONUM LLC |
| Practice Address |
1551 Forum Place Building 400 Suite D/e West Palm Beach FL 33401-5505 |
| Practice Telephone | 9175280694 |
| Mailing Telephone | 9175280694 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | ARPANA SHIVDASANI (OWNER) |
| Authorized Official Telephone | 9175280694 |
| Authorized Official Credential | P.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ME49592 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1551 FORUM PLACE BUILDING 400 SUITE D/E |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062362 | Sigridur Irizarry | Counselor | 400 Executive Center Dr Ste 106, West Palm Beach, FL 33401-2919 | 2019-09-18 |
| 1417431289 | The Healing & Wellness Center LLC | Counselor | 2715 N Australian Ave Ste 101, West Palm Beach, FL 33407-4500 | 2018-09-18 |
| 1285125633 | Alice Mcdonald | Counselor | 600 Executive Center Dr Apt 106, West Palm Beach, FL 33401-4938 | 2018-05-22 |
| 1417451907 | Recovery Coaches of Palm Beaches LLC | Counselor | 2377 Lena Ln, West Palm Beach, FL 33415-7276 | 2018-03-20 |
| 1376053165 | Jessica Boff | Counselor | 801 Northpoint Pkwy Ste 88, West Palm Beach, FL 33407-1812 | 2017-10-05 |
| 1679021133 | Theresa Olson | Counselor | 1640 Presidential Way, Apt A301, West Palm Beach, FL 33401-1859 | 2016-09-13 |
| 1255728465 | Michael Seville Jr. | Counselor | 1675 40th St, West Palm Beach, FL 33407-3641 | 2015-04-26 |
| 1710373972 | Jessie Huebner | Counselor | 224 Datura St Ste 1015, West Palm Beach, FL 33401-5638 | 2015-04-14 |
| 1336547546 | Stacy Jo Poffenbarger | Counselor | 726 Selkirk St, West Palm Beach, FL 33405-3136 | 2014-12-22 |
| 1396155420 | Elevation Recovery Inc | Counselor | 1509 N Military Trl, West Palm Beach, FL 33409-4765 | 2014-04-28 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on DOMUS LEONUM LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.