Mccullough, Leslie Marie

Mccullough, Leslie Marie is an sole proprietor health care provider with primary practice located at 1212 Sw Mulvane St , Topeka KS 66604-1442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Mccullough, Leslie Marie can be contacted via phone (210) 885-8696.

Contact Information

Primary practice address
1212 Sw Mulvane St Topeka KS 66604-1442
Phone: (210) 885-8696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 02227 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 10642 Kansas

Profile Details

NPI number 1184763955
LBN Legal business name Mccullough, Leslie Marie
Credentials LSCSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Mar 3rd, 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 1184763955 NPPES
Texas Other 00506W BC BS
Texas MEDICAID 2012015401 BC BS
Texas MEDICAID 110004202 BC BS

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