Provider Demographics
NPI:1366551947
Name:SMOLINSKI, LEONARD JOSEPH (MS LPC)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:JOSEPH
Last Name:SMOLINSKI
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 JAMES ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360
Mailing Address - Country:US
Mailing Address - Phone:334-774-9595
Mailing Address - Fax:
Practice Address - Street 1:389 JAMES ST
Practice Address - Street 2:SUITE C
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360
Practice Address - Country:US
Practice Address - Phone:334-774-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL706AL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51510291OtherFED BCBS
AL51042437OtherBCBS OF AL