LEOLA ANISSA BROCK (MA) – Mental Health Counselor, NPI 1235893488

LEOLA ANISSA BROCK (MA) is a healthcare provider. based in Bonifay, Florida. specializing in Mental Health Counselor. They hold the professional credentials MA. The NPI Number for LEOLA ANISSA BROCK (MA) is 1235893488

Main info

Female
Sole Proprietor
Name
LEOLA ANISSA BROCK (MA)
NPI
1235893488
Phone
(850) 326-2480
Address
1789 WHITE RD
Enumeration Date
25 October 2021
Last Update Date
27 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for LEOLA ANISSA BROCK (MA)

  • 1789 WHITE RD

    BONIFAY, FL 324257001

    Phone: (850) 326-2480

    Type: Mailing

  • 20274 CENTRAL AVE W

    BLOUNTSTOWN, FL 324241957

    Phone: (850) 674-8888

    Fax: (850) 237-1223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32425)

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Reviews

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Frequently asked questions

Is LEOLA ANISSA BROCK (MA) listed with a National Provider Identifier?
Yes — LEOLA ANISSA BROCK (MA) has NPI 1235893488 on file in the registry.
Is there an active status for LEOLA ANISSA BROCK (MA)?
For scheduling context, LEOLA ANISSA BROCK (MA) is shown as active in the registry.
How would a patient describe LEOLA ANISSA BROCK (MA)'s focus?
For LEOLA ANISSA BROCK (MA), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LEOLA ANISSA BROCK (MA)?
Travel planning: use Bonifay, Florida as the reference point for LEOLA ANISSA BROCK (MA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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