LESLIE A MASTBAUM (NPI# 1063992964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063992964 |
| Entity Type | Individual |
| Full Name | LESLIE A MASTBAUM |
| Practice Address |
114 S Main St Lancaster SC 29720 |
| Mailing Address |
Po Box 1627 Lancaster SC 29721-1627 |
| Practice Telephone | 8032856911 |
| Mailing Telephone | 8032856911 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 230852 | 05 |
| Street Address |
114 S MAIN ST |
| City | LANCASTER |
| State | SC |
| Zip Code | 29720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282295 | Ohio Valley Physicians Inc | Family Medicine | 114 S Main St, Lancaster, SC 29720-2442 | 2019-06-04 |
| 1346734027 | James Wright | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2018-06-18 |
| 1174034888 | Letanya Williams | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2017-10-20 |
| 1841728540 | Ashley Hiers | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2017-05-25 |
| 1457758732 | Donna Herchek | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2014-12-02 |
| 1235536194 | Dianne Moore | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2014-11-20 |
| 1639575020 | Michelle Harmon | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2014-11-12 |
| 1174864805 | Dennis Spiller | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2013-03-05 |
| 1578802252 | Lanisha Stover Blair | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2013-01-31 |
| 1447599113 | Tommicha Walker | Counselor | 114 S Main St, Lancaster, SC 29720-2442 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
| 1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
| Find all providers in zip 29720 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1316550213 | Jennifer Hoffmann | Counselor | 44447 10th St W # C, Lancaster, CA 93534-3324 | 2020-08-28 |
| 1124631130 | Ruben Daniel Ruiz Sr. | Counselor | 1053 E Avenue K # 40, Lancaster, CA 93535-4810 | 2020-08-28 |
| 1306454970 | Kirk Evans | Counselor | 3670 Shiloh Unity Rd, Lancaster, SC 29720-7323 | 2020-07-20 |
| 1164053864 | John Mcglothin | Counselor | 220 Pioneer Ct, Lancaster, TX 75146-3035 | 2020-01-31 |
| 1306476528 | Kelly Mason | Counselor | 313 W Liberty St Ste 124, Lancaster, PA 17603-2766 | 2020-01-16 |
| 1306483607 | Alexis Milner | Counselor | 1470 New Danville Pike Apt D, Lancaster, PA 17603-9214 | 2019-12-05 |
| 1508418336 | Marilyn Kay Thomas | Counselor | 1812 Pioneer Way, Lancaster, TX 75146-1902 | 2019-07-11 |
| 1669948832 | Cynthia Diane Hunter-spears | Counselor | 43845 10th St W Ste 1d, Lancaster, CA 93534-4800 | 2018-10-15 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.