LESLIE S CORLEY (NPI# 1720112857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720112857 |
| Entity Type | Individual |
| Full Name | LESLIE S CORLEY |
| Credential | MA, LPC, NCC |
| Practice Address |
3148 Icard Grove Ave Connellys Springs NC 28612-7477 |
| Practice Telephone | 8288798135 |
| Mailing Telephone | 8288798135 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
NC | Behavioral Health & Social Service Providers |
| Street Address |
3148 ICARD GROVE AVE |
| City | CONNELLYS SPRINGS |
| State | NC |
| Zip Code | 28612-7477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987713 | Alan Fowler Jacks | Surgery | 845 Malcolm Blvd., Connelly Springs, NC 28612 | 2007-12-04 |
| 1316995459 | Shelley A Mcclure | Obstetrics & Gynecology | 110 Hilltop St, Connelly Springs, NC 28612 | 2006-05-04 |
| 1346209293 | Ryan Nelson Richardson | Obstetrics & Gynecology | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-03-20 |
| 1437526175 | Bethany Craig Hollar | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2015-08-28 |
| 1407109309 | Shana C Proffitt | Nurse Practitioner | 845 Malcolm Blvd, Connelly Springs, NC 28612 | 2012-10-17 |
| 1326328881 | Despina Karavolos | Pharmacist | 210 Us Highway 70, Connelly Springs, NC 28612 | 2011-08-27 |
| 1710052535 | John Clements Betancourt | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2006-11-21 |
| 1962576181 | Gloria Marie Vodan | Advanced Practice Midwife | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-11-20 |
| 1568811784 | Elizabeth Deal Rowe | Speech-Language Pathologist | 3076 Icard School Road, Connelly Springs, NC 28612-3076 | 2016-06-08 |
| 1336394923 | Crystal Nmn Cha | Pharmacist | 3451 John Williams Rd, Connellys Springs, NC 28612-7338 | 2008-11-24 |
| Find all providers in zip 28612 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750555645 | Sharyn Kiziah Brady | Counselor | 3695 E Burke Blvd, Connellys Springs, NC 28612-7594 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053888313 | Kristine B Keith | Counselor | 133 Ne 32nd St, Oak Island, NC 28465-5922 | 2018-10-25 |
| 1003329194 | Gabriel Rosenboro | Counselor | 4400 Old Poole Rd, Raleigh, NC 27610-3033 | 2017-11-10 |
| 1740732866 | Aleya Karenton Willis | Counselor | 10410 Grand Fir Rd, Charlotte, NC 28227-3691 | 2016-10-25 |
| 1972913358 | Add Flavour | Counselor | 1710 Michigan Cir, Lumberton, NC 28358-7129 | 2014-05-06 |
| 1013351071 | Cynthia Gaie | Counselor | 601 Friendway Rd, Apt 1j, Greensboro, NC 27410-6400 | 2013-04-22 |
| 1982953436 | Healing Hope Habilitation Services | Counselor | 5109 New Moon Dr, Fayetteville, NC 28306-3515 | 2012-08-30 |
| 1033478805 | Julie Lynn Callahan | Counselor | 120 Ludlow Street, Albemarle, NC 28001 | 2012-05-14 |
| 1033430608 | Norma Totten Lee | Counselor | 274 Oakwood Drive, Oakwood Elementary School, Yanceyville, NC 27379-0640 | 2010-06-18 |
| 1275854267 | Kelley Perkins Peacock | Counselor | 553 Weyburn Dr Nw, Concord, NC 28027-3414 | 2010-06-14 |
| 1124348040 | Sara Jane Ross | Counselor | 306 S. Horton St., Hamilton, NC 27840-0250 | 2010-06-02 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLYS SPRINGS |
| Zip Code | 28612 |
Please comment or provide details below to improve the information on LESLIE S CORLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.