LESLIE MANLY MA
NPI 1114663697
Counselor - Mental Health in Tampa, FL
Active since May 09, 2022
About Leslie Manly Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE MANLY MA (NPI 1114663697) is an individual mental health provider in Tampa, Florida and active in the NPI registry since May 2022.
NPPES Registry Identity
NPI1114663697
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLESLIE MANLYCredential: MA
Location Address2005 PAN AM CIR STE 120Tampa, FL 33607-2529
Mailing Address11344 Emerald Shore DrRiverview, FL 33579-4200 · (813) 846-8263
Phone(727) 386-6495
Sole ProprietorYes
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1114663697 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2005 PAN AM CIR STE 120, Tampa, FL 33607
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114663697, enumerated as an "individual" on May 09, 2022.
The provider is located at 2005 PAN AM CIR STE 120 TAMPA, FL 33607 and the phone number is (727) 386-6495.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
