Baltz, Lesli Annette-Elkins

Baltz, Lesli Annette-Elkins is an individual health care provider with primary practice located at 2808 Fox Meadow Lane , Jonesboro AR 72404-9346. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Baltz, Lesli Annette-Elkins can be contacted via phone (870) 932-4245.

Contact Information

Primary practice address
2808 Fox Meadow Lane Jonesboro AR 72404-9346
Phone: (870) 932-4245
Fax: (870) 931-4457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2290-C Arkansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 11-11EI Arkansas

Profile Details

NPI number 1992841654
LBN Legal business name Baltz, Lesli Annette-Elkins
Credentials LCSW, LPE-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Nov 18th, 2022 - 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 1992841654 NPPES
Arkansas MEDICAID 272861719
Arkansas MEDICAID 174447795
Arkansas Other 5R093

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