Provider Demographics
NPI:1295369841
Name:LES IS MORE MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:LES IS MORE MENTAL HEALTH, LLC
Other - Org Name:LESLIE SCOTT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:541-429-0550
Mailing Address - Street 1:44882 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-9293
Mailing Address - Country:US
Mailing Address - Phone:541-429-0550
Mailing Address - Fax:541-276-3093
Practice Address - Street 1:44882 MISSION RD
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-9293
Practice Address - Country:US
Practice Address - Phone:541-429-0550
Practice Address - Fax:541-276-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-22
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500767575Medicaid