Hasan, Leela

Hasan, Leela is an individual health care provider with primary practice located at 702 W Alto Road , Kokomo IN 46902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hasan, Leela can be contacted via phone (765) 453-7422.

Contact Information

Primary practice address
702 W Alto Road Kokomo IN 46902
Phone: (765) 453-7422
Fax: (765) 453-3773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002266A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000151A Indiana

Profile Details

NPI number 1598891681
LBN Legal business name Hasan, Leela
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Oct 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598891681 NPPES
Indiana MEDICAID 100154150A

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