Leslie Smith LPC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2587 Issued in AL

Legal business name

LESLIE SMITH LPC LLC

Practice address

650 Sun Temple Dr
Madison, AL 35758-8621

Phone

(256) 684-2462

Fax

(256) 325-0084

NPI assigned

Jan 9, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Leslie W Smith, LPC

Title

Sole Proprietor

Phone

(256) 684-2462

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154838399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588621",
            "telephone_number": "256-684-2462",
            "fax_number": "256-325-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588621",
            "telephone_number": "256-684-2462",
            "fax_number": "256-325-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 Slaughter Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588689",
            "country_code": "US",
            "telephone_number": "256-684-2462",
            "fax_number": "256-325-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LESLIE SMITH LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "256-684-2462",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.