Provider Demographics
NPI:1215333448
Name:LESLIE LOWER, LCSW, LLC
Entity type:Organization
Organization Name:LESLIE LOWER, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOWER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-603-9057
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037-0069
Mailing Address - Country:US
Mailing Address - Phone:615-603-9057
Mailing Address - Fax:615-625-2976
Practice Address - Street 1:308 UPTOWN SQ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0574
Practice Address - Country:US
Practice Address - Phone:615-603-9057
Practice Address - Fax:615-625-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty