# DOMUS LEONUM LLC

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

## Provider details

- **NPI number:** 1730546862
- **Authorized official:** ARPANA SHIVDASANI P.A (OWNER)
- **Authorized official phone:** (917) 528-0694

## Contact information

- **Practice address:** 1551 FORUM PLACE, BUILDING 400 SUITE D/E, WEST PALM BEACH, FL 33401-5505
- **Practice address phone:** (917) 528-0694
- **Mailing address:** 1551 FORUM PLACE, BUILDING 400 SUITE D/E, WEST PALM BEACH, FL 33401-5505
- **Mailing address phone:** (917) 528-0694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ME49592 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 01/20/2016