Thompson, Leisha
Thompson, Leisha is an sole proprietor health care provider with primary practice located at 445 Brick Blvd Ste 304 , Brick NJ 08723-6080. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Thompson, Leisha can be contacted via phone (732) 814-3399.Contact Information
Primary practice address
445 Brick Blvd Ste 304
Brick NJ 08723-6080
Phone: (732) 814-3399
Fax: (732) 785-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00306300 | New Jersey |
Profile Details
| NPI number | 1063576676 |
|---|---|
| LBN Legal business name | Thompson, Leisha |
| Credentials | LPC, LCADC, CJC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Apr 30th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063576676 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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