Mulligan, Leslie

Mulligan, Leslie is an sole proprietor health care provider with primary practice located at 3515 W Market St Ste 120 , Greensboro NC 27403-4441. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mulligan, Leslie can be contacted via phone (336) 323-2660.

Contact Information

Primary practice address
3515 W Market St Ste 120 Greensboro NC 27403-4441
Phone: (336) 323-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC3059 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X 13266 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X CC3059 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 13266 North Carolina

Profile Details

NPI number 1184779993
LBN Legal business name Mulligan, Leslie
Credentials LPC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Mar 29th, 2019 - 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 1184779993 NPPES
Maine Other 26-2062123 FEIN

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