Provider Demographics
NPI:1104469311
Name:LEONCE STEVENS, ALICE MURIEL (MS)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:MURIEL
Last Name:LEONCE STEVENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:MURIEL
Other - Last Name:LEONCE STEVENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3700 LANCASTER PIKE STE 305
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1511
Mailing Address - Country:US
Mailing Address - Phone:302-278-0026
Mailing Address - Fax:302-278-0047
Practice Address - Street 1:3700 LANCASTER PIKE STE 305
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1511
Practice Address - Country:US
Practice Address - Phone:302-278-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010422101Y00000X, 101YM0800X, 101YM0800X
101YP2500X
DE1576405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty