Organization Name: | LESLIE A ABBEY, L.L.C. |
NPI Number: | 1063709509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE A ABBEY (THERAPIST) |
Mailing Address: | 1900 W 75th St Suite 120 Prairie Village |
State: | KS US |
Postal Code: | 662083501 |
Phone Number: | 9132622950 |
Fax Number: | 9133844629 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | LSCSW1264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |