TIMOTHY LEISTNER (NPI# 1194360412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194360412 |
| Entity Type | Individual |
| Full Name | TIMOTHY LEISTNER |
| Credential | EDD |
| Practice Address |
3911 Hollywood Blvd # 3201 Hollywood FL 33021-6795 |
| Practice Telephone | 9546397345 |
| Mailing Telephone | 9546397345 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3911 HOLLYWOOD BLVD # 3201 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510421 | Michelle Hart | Counselor | 2500 Hollywood Blvd Ste 309, Hollywood, FL 33020-6615 | 2020-08-25 |
| 1124645262 | Natalie Alazrachi, Pa | Counselor | 2421 Hollywood Blvd Ste 2, Hollywood, FL 33020-6605 | 2020-07-05 |
| 1558984526 | Erin Ladwig | Counselor | 3510 Harrison St Apt 7, Hollywood, FL 33021-7428 | 2020-05-25 |
| 1043830425 | Goddess Health & Wellness, LLC | Counselor | 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021-6481 | 2020-04-25 |
| 1255951406 | Eniola Dada | Counselor | 4093 Cascada Cir, Hollywood, FL 33024-8517 | 2020-04-17 |
| 1033748025 | Deborah Blum | Counselor | 1918 Harrison St Ste 203, Hollywood, FL 33020-5066 | 2020-04-02 |
| 1992343727 | Jaime Cowhick | Counselor | 1845 Liberty St Apt 11, Hollywood, FL 33020-2433 | 2019-12-11 |
| 1952943359 | Nikita-charisma Janelle Nicholas | Counselor | 5400 Johnson St, Hollywood, FL 33021-5724 | 2019-10-17 |
| 1003467861 | Gregory Reid Adelstein | Counselor | 3418 Ottawa Ln, Hollywood, FL 33026-4616 | 2019-09-24 |
| 1770135972 | T. Conswello Davis | Counselor | 3911 Hollywood Blvd Ste 2, Hollywood, FL 33021-6795 | 2019-07-09 |
| Find all providers in HOLLYWOOD | ||||
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| 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.