Leslie Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LESLIE THERAPY, LLC

Practice address

303 Highway 90
Bay Saint Louis, MS 39520-2832

Phone

(228) 471-3141

NPI assigned

Oct 14, 2019

Last updated

Jul 29, 2024By 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

Leslie Denise, LCSWNPI 1790727378

Title

Owner/ LCSW

Phone

(228) 471-3141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Denise, LCSW

  • Clinical Social Worker
  • Bay Saint Louis, MS
  • NPI 1790727378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1902448723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HIGHWAY 90",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395202832",
            "telephone_number": "228-471-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HIGHWAY 90",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395202832",
            "telephone_number": "228-471-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DENISE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "228-471-3141",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel Wiest Hetrick, PH.D.
• J Austin Rahaim, DMD, Ms, PA (BayView Orthodontics)
• Christina B James, LCSW
• Bailey Cambron Kassner, RD
• Abigail McKnight Lafleur, NP-C
• Lighthouse Counseling, PLLC
• Leanne Murray, NP-C
• Ochsner Medical Center - Hancock LLC (Ochsner Medical Center - Hancock)
• Ochsner Mississippi, LLC
• Ochsner Mississippi, LLC (Ochsner Urgent Care and Occupational Health Port Bienville)

• Clinical Social Worker in Bay Saint Louis, MS
• Providers in Bay Saint Louis, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.