Provider Demographics
NPI:1164864757
Name:SESSLEY, LESLIE (LCSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:SESSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2784 N DECATUR RD
Mailing Address - Street 2:STE 145
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5903
Mailing Address - Country:US
Mailing Address - Phone:404-850-1570
Mailing Address - Fax:706-425-8600
Practice Address - Street 1:2784 N DECATUR RD
Practice Address - Street 2:STE 145
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5903
Practice Address - Country:US
Practice Address - Phone:404-850-1570
Practice Address - Fax:706-425-8600
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0048421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical