Cole, Leslie E

Cole, Leslie E is an individual health care provider with primary practice located at 3532 Tritt Springs Way Ne , Marietta GA 30062-5274. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cole, Leslie E can be contacted via phone (770) 608-1715.

Contact Information

Primary practice address
3532 Tritt Springs Way Ne Marietta GA 30062-5274
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC001575 Georgia

Profile Details

NPI number 1205991379
LBN Legal business name Cole, Leslie E
Credentials D.MIN.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Dec 30th, 2021 - about 3 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 1205991379 NPPES
Georgia MEDICAID 204488815A

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