Individual provider Active NPI

Leslie-Ann Gallimore

  • Marriage & Family Therapist
  • Deland, FL
National Provider Identifier
1841089901
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT4364 Issued in FL
Practice address
201 W Plymouth Ave
Deland, FL 32720-2753
Phone
(386) 873-2963
Fax
(386) 873-4579
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT4364 FL Primary

Addresses

Primary practice location

201 W Plymouth Ave
Deland, FL 32720-2753

Mailing address

5532 Hampton Woods Way
Tallahassee, FL 32311-8105
Phone (850) 566-2354

Other practice location 1

5532 Hampton Woods Way
Tallahassee, FL 32311-8105
Phone (850) 566-2354

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMT4364FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Health Services LLC CurrentSince May 11, 2025 Accepting new patients
Saafe Behavioral Services LLC CurrentSince May 11, 2025 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1841089901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 HAMPTON WOODS WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118105",
            "telephone_number": "850-566-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5532 Hampton Woods Way",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323118105",
            "country_code": "US",
            "telephone_number": "850-566-2354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIMORE",
        "first_name": "LESLIE-ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.