Leslie Lalane Phillips, M.S., L.P.C, NCC
Individual provider Active NPI Mental Health Counselor · Laceys Spring, AL
NPI 1366525958 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1366525958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2610 - LPC (AL)
- Practice address
- 1132 Lower Dry Creek Rd
Laceys Spring, AL 35754-3720 - Phone
- (256) 690-4982
- NPI assigned
- Oct 24, 2006
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 - LPC | AL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2610 - LPC | AL | Yes |
Addresses
Primary practice location
1132 Lower Dry Creek Rd
Laceys Spring, AL 35754-3720
Mailing address
1132 Lower Dry Creek Rd
Laceys Spring, AL 35754-3720
Phone (256) 690-4982
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51537652 | Other | AL | BCBS |
Other providers in Laceys Spring, AL
- Jeannie Johnston
- Valley Sunrise LLC
- Vivian N Hannon
- Leah Tucker Walsh
- Catharine B Willis
- Tammy Lynn Wilson
All providers in Laceys Spring, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.