Provider Demographics
NPI:1902231970
Name:LEBLANC, WILMORE, & SMITH, INC.
Entity type:Organization
Organization Name:LEBLANC, WILMORE, & SMITH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:JANELL
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-546-3696
Mailing Address - Street 1:5527 GREYLOG DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-1849
Mailing Address - Country:US
Mailing Address - Phone:281-546-3696
Mailing Address - Fax:713-733-8889
Practice Address - Street 1:4561 EDFIELD ST STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1909
Practice Address - Country:US
Practice Address - Phone:281-804-5991
Practice Address - Fax:713-733-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities