Provider Demographics
NPI:1629167689
Name:SMITH, LESLIE P (MSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:P
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3382
Mailing Address - Country:US
Mailing Address - Phone:501-257-3203
Mailing Address - Fax:501-257-2335
Practice Address - Street 1:17 WOODHILL DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3382
Practice Address - Country:US
Practice Address - Phone:501-257-3203
Practice Address - Fax:501-257-2335
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)