Organization
THE LATIN ENRICHMENT ORGANIZATION LLC
Active
Other names
L.E.O. Clinic, LEO Primary Care, LEO Behavioral Health, LEO Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MARRERO ACSW, MSW, EDD (EXECUTIVE DIRECTOR)
(860) 249-0975
Entity
Organization
Contact information
Practice address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 249-0975
(860) 249-0975
Mailing address
PO BOX 380322, EAST HARTFORD, CT 06138-0322
(860) 249-0975
(860) 249-0975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
85
CT
Other
Enumeration date
02/24/2015
Last updated
11/08/2022
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