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TIMOTHY LEISTNER EDD
NPI 1194360412
Counselor - Mental Health in Hollywood, FL

Active since November 11, 2019
3911 HOLLYWOOD BLVD # 3201, HOLLYWOOD, FL 33021(954) 639-7345 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2019, Nov 11, 2019 (2 updates tracked since 2019).

About Timothy Leistner Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY LEISTNER EDD (NPI 1194360412) is an individual mental health provider in Hollywood, Florida and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1194360412
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY LEISTNERCredential: EDD
Location Address3911 HOLLYWOOD BLVD # 3201Hollywood, FL 33021-6795
Mailing Address3911 Hollywood Blvd # 3201Hollywood, FL 33021-6795 · (954) 639-7345
Phone(954) 639-7345
Sole ProprietorNo
Enumeration DateNovember 11, 2019
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
✔ NPI 1194360412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3911 HOLLYWOOD BLVD # 3201, Hollywood, FL 33021
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Leistner's NPI number?

The NPI number for Timothy Leistner is 1194360412. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is Timothy Leistner located?

Timothy Leistner practices at 3911 Hollywood Blvd # 3201, Hollywood, FL 33021. The listed phone number is (954) 639-7345.

What is Timothy Leistner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Timothy Leistner was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.