Leslie Therapy, Llc | |
303 Highway 90 Bay Saint Louis MS 39520-2832 | |
(228) 471-3141 | |
Not Available |
Full Name | Leslie Therapy, Llc |
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Speciality | Social Worker |
Location | 303 Highway 90, Bay Saint Louis, Mississippi |
Authorized Official Name and Position | Leslie Denise (OWNER/ LCSW) |
Authorized Official Contact | 2284713141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leslie Therapy, Llc 303 Highway 90 Bay Saint Louis MS 39520-2832 Ph: (228) 471-3141 | Leslie Therapy, Llc 303 Highway 90 Bay Saint Louis MS 39520-2832 Ph: (228) 471-3141 |
NPI Number | 1902448723 |
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Provider Enumeration Date | 10/14/2019 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 0749612786 |
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Medicare Enrollment ID | O20191113002767 |
Identifier | Type | State | Issuer |
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1902448723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Leslie Denise Fitzmorris |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790727378 PECOS PAC ID: 8527075472 Enrollment ID: I20191113002806 |
Lighthouse Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 303 Highway 90, Bay Saint Louis, MS 39520 Phone: 228-238-0992 |