MS. WENDY LEIBA


Address: 1800 Pembrook Drive, Suite 300, Orlando, FL 32810-1512
Phone: 4074062577

MS. WENDY LEIBA (NPI# 1679719876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679719876
Entity Type Individual
Full Name MS. WENDY LEIBA
Other Name MS. WENDY LEIBA-MATOS
Practice Address 1800 Pembrook Drive
Suite 300
Orlando
FL 32810-1512
Mailing Address 2139 Judith Pl
Longwood
FL 32779-7012
Practice Telephone 4074062577
Mailing Telephone 4074062577
Enumeration Date 2008-12-18
Last Update Date 2015-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 1679719876 05

Office Location

Street Address 1800 PEMBROOK DRIVE
SUITE 300
City ORLANDO
State FL
Zip Code 32810-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043551674 Trusting Hand LLC Home Health 1800 Pembrook Drive, Suite 300, Orlando, FL 32810-6378 2013-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932708344 Courtney Anne Bass Psychologist 5736 Eggleston Avenue, Orlando, FL 32810 2020-10-19
1598273666 Taylor Elizabeth Marshall Behavior Technician 3701 Maitland Summit Blvd, Orlando, FL 32810 2018-01-11
1962920595 Sister With Destiny Adult Companion 5214 N. O. B. T Apt 103, Orlando, FL 32810 2017-09-04
1710408992 Denise Lynn Mezquia Optometrist 1800 Pembrook Dr Ste 120, Orlando, FL 32810 2017-06-28
1407380603 Naho Hattori Student in an Organized Health Care Education/Training Program 1800 Pembrook Dr Ste 200, Orlando, FL 32810 2017-04-13
1245774801 Elite Physical Therapy & Health Care Services Community/Behavioral Health 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 2016-12-15
1841746518 Marie Yveline Mauger Licensed Practical Nurse 4400 Park Eden Cir, Orlando, FL 32810 2016-08-31
1548619950 Predestined 4 Purpose Inc Home Health 6826 Gadwall Lane, Orlando, FL 32810 2016-06-07
1881058998 Xuong Vong Massage Therapist 9301 Summit Centre Way, Maitland, FL 32810 2016-04-06
1760862726 Edwin Colon Case Management 2660 Environs Blvd, Orlando, FL 32810 2015-06-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336753789 Marite Martinez Counselor 2119 Lake Christie Dr, Orlando, FL 32809-7960 2020-09-02
1033758735 Sylvia V. Ramos Perez Counselor 5000 Catspaw Ct, Orlando, FL 32808-5961 2019-12-27
1689212904 Chad Brown Counselor 942 Coquina Rock St, Orlando, FL 32828-7099 2019-12-17
1396381455 Latasha Quenshay Ursin Counselor 1277 N Semoran Blvd Ste 117, Orlando, FL 32807-3574 2019-11-25
1891346094 Katrina Lynn Alfonso Counselor 4440 Medallion Dr Apt 817, Orlando, FL 32808-1165 2019-09-27
1962065748 Alexandra Nicole Morales Counselor 7401 Kalani St, Orlando, FL 32822-5602 2019-04-17
1205397825 Shannon Folsom Counselor 3741 Lasson Ct, Orlando, FL 32835-2669 2019-03-27
1043778244 Tanya S Doyle Counselor 12890 S John Young Pkwy, Orlando, FL 32837-3400 2019-03-06
1437616521 Brooke Parker Counselor 100 W. Columbia St., Orlando, FL 32806-1006 2019-02-25
1184107534 Healing & Beyond Health Services Counselor 111 N Orange Ave Ste 829, Orlando, FL 32801-2316 2018-09-12
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Competitor

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City ORLANDO
Zip Code 32810

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Dataset Information

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.

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