Leslie Laran Bates, BSW

Individual provider Active NPI Case Manager/Care Coordinator · Tullahoma, TN

NPI 1225528847 · NPPES record last updated May 18, 2018

Key facts

NPI
1225528847
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
709 Davidson St
Tullahoma, TN 37388-3607
Phone
(931) 461-1300
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

709 Davidson St
Tullahoma, TN 37388-3607

Mailing address

709 Davidson St
Tullahoma, TN 37388-3607

Other providers in Tullahoma, TN

All providers in Tullahoma, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.