Bennett, Leslie Lynn

Bennett, Leslie Lynn is an individual health care provider with primary practice located at 2102 Pecos St Ste 10 , San Angelo TX 76901-3061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bennett, Leslie Lynn can be contacted via phone (325) 221-4079.

Contact Information

Primary practice address
2102 Pecos St Ste 10 San Angelo TX 76901-3061
Phone: (325) 221-4079
Fax: (325) 227-4157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 67293 Texas

Profile Details

NPI number 1659558880
LBN Legal business name Bennett, Leslie Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Sep 5th, 2020 - about 5 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 1659558880 NPPES
Texas Other 005282 BCBS
Texas MEDICAID 395401902 BCBS
Texas Other 832244 BCBS

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