Smith, Leon J

Smith, Leon J is an sole proprietor health care provider with primary practice located at 3809 S 2Nd St Ste C400 , Austin TX 78704-7059. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Leon J can be contacted via phone (512) 451-7310.

Contact Information

Primary practice address
3809 S 2Nd St Ste C400 Austin TX 78704-7059
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3493 Texas
Agencies / Case Management 251B00000X

Profile Details

NPI number 1619195682
LBN Legal business name Smith, Leon J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Mar 1st, 2024 - about 2 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 1619195682 NPPES
Texas MEDICAID 112931402

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