Leslynne Lee Green

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19381 Issued in FL

Practice address

2990 Gulf Breeze Pkwy / Counseling Suite
Gulf Breeze, FL 32563-3256

Phone

(850) 503-0386

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1962009605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SHORELINE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614173",
            "telephone_number": "850-503-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 GULF BREEZE PKWY / COUNSELING SUITE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633256",
            "telephone_number": "850-503-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LESLYNNE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory Lebleu MD PA
• Jennifer Greunke, LCSW
• Grey Matters Behavior Services
• Algieona Griffin, RBT
• April Groeneweg, M.S. BCBA

• Mental Health Counselor in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.