Individual
LEON PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., PLPC
Contact information
Practice address
1500 RIVER OAKS RD W, ELMWOOD, LA 70123-2163
(504) 736-6000
Mailing address
2616 N TONTI ST, NEW ORLEANS, LA 70117-7553
(504) 662-6781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8971
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/31/2026
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