Provider Demographics
NPI:1932758430
Name:BARBER, LEON DEVONE JR (LMSW, CAADC, LICDC)
Entity type:Individual
Prefix:MR
First Name:LEON
Middle Name:DEVONE
Last Name:BARBER
Suffix:JR
Gender:M
Credentials:LMSW, CAADC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12939 ASHTON RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-3527
Mailing Address - Country:US
Mailing Address - Phone:313-312-5366
Mailing Address - Fax:
Practice Address - Street 1:4646 JOHN R ST UNIT B2SOUTH
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1916
Practice Address - Country:US
Practice Address - Phone:313-576-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-05045101YA0400X
MI6801117351104100000X
OHLICDC.162542101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker