Conzuelo Leiva, LAC is a
Counselor - Mental Health based in Guttenberg, New Jersey. Conzuelo Leiva is licensed to practice in New Jersey (license number 37AC00350200) and her current practice location is
127 69th St, Guttenberg, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(551) 274-3876.
NPI number for Conzuelo Leiva is 1164058442 and her current mailing address is 127 69th St, Guttenberg, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164058442.
Healthcare Provider's Profile
Full Name | Conzuelo Leiva |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 127 69th St, Guttenberg, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164058442
- Provider Enumeration Date: 03/18/2020
- Last Update Date: 03/18/2020
Medical Identifiers
Medical identifiers for Conzuelo Leiva such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164058442 | NPI | - | NPPES |
37AC00350200 | Other | NJ | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 37AC00350200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Conzuelo Leiva is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Conzuelo Leiva, LAC 127 69th St, Guttenberg, NJ 07093-3339 Ph: (551) 274-3876 | Conzuelo Leiva, LAC 127 69th St, Guttenberg, NJ 07093-3339 Ph: (551) 274-3876 |
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