National Provider Identifier

Leila Catherine Fountain

Leila Catherine Fountain is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Batavia, NY and a listed phone number of (585) 727-7053.

NPI 1407369010Batavia, NYCommunity/Behavioral Health Agency

Profile Overview

NPI
1407369010
Provider Type
Individual
Primary Specialty
Community/Behavioral Health Agency
Enumeration Date
November 06, 2017
Last Updated
November 06, 2017

Practice Location

  • 5130 E Main Street RD Ste 2
  • Batavia, NY 14020-3444

Phone: (585) 727-7053

Specialties

  • Community/Behavioral Health Agency (251S00000X)
Full Record
NPI
1407369010
Entity Type
Individual
Last Name
Fountain
First Name
Leila
Middle Name
Catherine
Mailing Street Address
5130 E Main Street RD Ste 2
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-3444
Mailing Country
US
Mailing Phone
(585) 727-7053
Practice Street Address
5130 E Main Street RD Ste 2
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-3444
Practice Country
US
Practice Phone
(585) 727-7053
Enumeration Date
November 06, 2017
Last Updated
November 06, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Behavioral Health Agency (251S00000X)