# LEAP OF FAITH MINISTRIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669220364
- **Authorized official:** IMANI WILFORM (OWNER)
- **Authorized official phone:** (803) 306-0623

## Contact information

- **Practice address:** 1166 BURKE AVE, BRONX, NY 10469-5023
- **Practice address phone:** (803) 306-0623
- **Mailing address:** 5951 RIVERDALE AVE UNIT 1225, BRONX, NY 10471-4327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |

## Other

- **Enumeration date:** 05/08/2024
- **Last updated:** 05/08/2024