Leslie'S Staffing & Rehabilitation Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LESLIE'S STAFFING & REHABILITATION SERVICES

Practice address

160 Bastille Way
Fayetteville, GA 30214-7653

Phone

(678) 870-4467

Fax

(770) 626-3421

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Carla Leslie-Gooden

Title

Ceo/Director

Phone

(678) 870-4467

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1225491707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BASTILLE WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147653",
            "telephone_number": "678-870-4467",
            "fax_number": "770-626-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BASTILLE WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147653",
            "telephone_number": "678-870-4467",
            "fax_number": "770-626-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE'S STAFFING & REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "LESLIE-GOODEN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "678-870-4467"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J. Leger, P.T.
• Keith Lehman, M.D.
• Vicki M Leopold, LCSW
• Les Speech Services
• Carla Leslie-Gooden
• Foster Kennard Lester, PTA
• Asia M Lewis
• Elizabeth Lewis
• Khalynn Lewis, RBT
• Linda Starling Lewis, PH D

• Community/Behavioral Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.