Provider Demographics
NPI:1811555907
Name:L.E.A.PS, INC.
Entity Type:Organization
Organization Name:L.E.A.PS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:N
Authorized Official - Last Name:TAYLOR-NOBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-287-1145
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-0401
Mailing Address - Country:US
Mailing Address - Phone:251-287-1145
Mailing Address - Fax:251-433-8289
Practice Address - Street 1:4979 LOTT RD
Practice Address - Street 2:
Practice Address - City:EIGHT MILE
Practice Address - State:AL
Practice Address - Zip Code:36613-9179
Practice Address - Country:US
Practice Address - Phone:251-287-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children