Provider Demographics
NPI:1851841233
Name:RING, LESLIE HOLLIDAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:HOLLIDAY
Last Name:RING
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 1:337 S MILLEDGE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-5664
Mailing Address - Country:US
Mailing Address - Phone:706-254-0547
Mailing Address - Fax:706-621-7997
Practice Address - Street 1:337 S MILLEDGE AVE STE 210
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-5664
Practice Address - Country:US
Practice Address - Phone:706-254-0547
Practice Address - Fax:706-621-7997
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0045481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical