Provider Demographics
NPI:1508114281
Name:MAY, LESLIE KARA (BS)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:KARA
Last Name:MAY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 FLINN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-4110
Mailing Address - Country:US
Mailing Address - Phone:423-903-5495
Mailing Address - Fax:
Practice Address - Street 1:1309 REDMOND RD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-9655
Practice Address - Country:US
Practice Address - Phone:423-903-5495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker