# LEIGH BOSTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922487321
- **Authorized official:** LEIGH BOSTIC (SOLE MEMBER)
- **Authorized official phone:** (864) 298-8026

## Contact information

- **Practice address:** 110 MANLY ST, GREENVILLE, SC 29601-3025
- **Practice address phone:** (864) 298-8026
- **Practice address fax:** (864) 298-8032
- **Mailing address:** 706 S ALMOND DR, SIMPSONVILLE, SC 29681-3347
- **Mailing address phone:** (864) 430-0475
- **Mailing address fax:** (864) 298-8032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 5459 | SC | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015