LEO CLINIC LLC – NPI #1134851991
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

LEO CLINIC LLC is an AHC clinic located in HARTFORD, CT. NPPES has assigned the NPI number 1134851991 to LEO CLINIC LLC on June 29, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEO CLINIC LLC below.

NPI Profile for
LEO CLINIC LLC

NPI Number
1134851991
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEO CLINIC LLC
Primary location
54 FOREST ST
HARTFORD, CT 06105-3204
Phone: (860) 992-5569 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLOS MARRERO
OWNER
Phone: (860) 992-5569
Updated
Certification Date
Jun 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
251S00000X
- Community/Behavioral Health
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.