Organization
LESLIE SMITH LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE W SMITH LPC (SOLE PROPRIETOR)
(256) 684-2462
Entity
Organization
Contact information
Practice address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 684-2462
(256) 325-0084
Mailing address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 684-2462
(256) 325-0084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2587
AL
Other
Enumeration date
01/09/2018
Last updated
03/17/2018
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