Leslie, Garrett Mark
Leslie, Garrett Mark is an sole proprietor health care provider with primary practice located at 101 S Central Ave , Oviedo FL 32765-9027. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Leslie, Garrett Mark can be contacted via phone (407) 415-6557.Contact Information
Primary practice address
101 S Central Ave
Oviedo FL 32765-9027
Phone: (407) 415-6557
Fax: (407) 680-5628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PMH931 | Florida |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 20311 | Florida |
| Behavioral Health & Social Service Providers / School | 101YS0200X | ID702838 | Florida |
| Behavioral Health & Social Service Providers / School | 101YS0200X | ID702838 | Georgia |
| Behavioral Health & Social Service Providers / School | 103TS0200X | EXPIRED | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-BSW | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / School | 1041S0200X | Florida | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH10254 | Florida |
Profile Details
| NPI number | 1881918944 |
|---|---|
| LBN Legal business name | Leslie, Garrett Mark |
| Credentials | LMHC, FL-CSPV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2010 |
| Last updated | Oct 11th, 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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