Lang, Leslie Ellis

Lang, Leslie Ellis is an sole proprietor health care provider with primary practice located at 14041 Icot Blvd , Clearwater FL 33760-3702. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Lang, Leslie Ellis can be contacted via phone (727) 479-1800.

Contact Information

Primary practice address
14041 Icot Blvd Clearwater FL 33760-3702
Phone: (727) 479-1800
Fax: (727) 479-1248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 1131 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1952546202
LBN Legal business name Lang, Leslie Ellis
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2008
Last updated Jan 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952546202 NPPES
Florida MEDICAID 760308800

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