Provider Demographics
NPI:1669555926
Name:SMART, LESLIE ALBERT III (LPC)
Entity type:Individual
Prefix:MR
First Name:LESLIE
Middle Name:ALBERT
Last Name:SMART
Suffix:III
Gender:M
Credentials:LPC
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Mailing Address - Street 1:34 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2224
Mailing Address - Country:US
Mailing Address - Phone:828-775-1242
Mailing Address - Fax:828-298-4870
Practice Address - Street 1:50 REDDICK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2717
Practice Address - Country:US
Practice Address - Phone:828-775-1242
Practice Address - Fax:828-298-2870
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2014-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103108Medicaid