Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Johnny Marvell Leake II

Individual provider Contractor · NPI 1588255194

Mr. Johnny Marvell Leake II is a Contractor in Oklahoma City, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3621 N Kelley Ave
Oklahoma City, OK 73111-4520
Phone: (405) 524-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Contractor Taxonomy 171W00000X

Record details

NPI number1588255194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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