| Leslie Therapy, Llc | |
|
303 Highway 90 Bay Saint Louis MS 39520-2832 | |
| (228) 471-3141 | |
| Not Available |
| Full Name | Leslie Therapy, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 0749612786 |
|---|---|
| Medicare Enrollment ID | O20191113002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902448723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie Denise |
|---|---|
| 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: Not Enrolled in Medicare Practice Location: 303 Highway 90, Bay Saint Louis, MS 39520 Phone: 228-238-0992 |