LESLIE DAVIS (NPI# 1619437969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619437969 |
| Entity Type | Individual |
| Full Name | LESLIE DAVIS |
| Practice Address |
1278 Jungermann Rd Ste E Saint Peters MO 63376-6964 |
| Mailing Address |
1377 Great Warrior Dr O Fallon MO 63366-3737 |
| Practice Telephone | 8646711313 |
| Mailing Telephone | 6187818442 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2017007621 | MO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2017007621 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182303 | Leslie Baylis Davis | Counselor | 70 Nubb Rainey Rd, Hattiesburg, MS 39401-8188 | 2019-12-20 |
| 1255856282 | Leslie Davis | Counselor | 7 Eagle Ctr Ste B1, O Fallon, IL 62269-1946 | 2017-08-10 |
| 1033458039 | Leslie Davis | Speech-Language Pathologist | 12136 Kay Dr, Seminole, FL 33772-2600 | 2013-02-11 |
| 1972778330 | Leslie Anntoinette Davis | Marriage & Family Therapist | 5139 Balboa Blvd, Unit 16, Encino, CA 91316 | 2008-04-28 |
| 1104041755 | Leslie J Davis | Nurse Practitioner | 2205 Oak Ridge Rd Ste Aa-bb, Oak Ridge, NC 27310-8728 | 2007-04-16 |
| 1093888000 | Leslie P Davis | Physical Therapist | 100 Winters St Ste 103, West Point, VA 23181-9534 | 2006-11-16 |
| 1053355214 | Leslie I Davis | Dentist | 13802 W Camino Del Sol, Sun City West, AZ 85375-4486 | 2006-06-16 |
| 1396345690 | Leslie Davis | Pharmacist | 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 | 2020-10-27 |
| 1053977249 | Leslie Erin Davis | Physician Assistant | 105 Keystone Cir, Vicksburg, MS 39183-3201 | 2019-05-14 |
| 1619484946 | Leslie Davis | Counselor | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-01-09 |
| Street Address |
1278 JUNGERMANN RD STE E |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-6964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724405 | Melissa Strachan | Psychologist | 1278 Jungermann Rd Ste E, Saint Peters, MO 63376-6964 | 2006-03-14 |
| 1528623964 | Aware Woulf Counseling LLC | Counselor | 1278 Jungermann Rd Ste E, Saint Peters, MO 63376-6964 | 2019-05-01 |
| 1679066153 | Melissa Strachan, Psy.d., LLC | Psychologist | 1278 Jungermann Rd Ste E, Saint Peters, MO 63376-6964 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420054 | Zafar Khan | Counselor | 150 Saint Peters Centre Blvd Ste B, Saint Peters, MO 63376-1653 | 2020-02-26 |
| 1881224079 | Joseph Stanley Jr. | Counselor | 1413 Plantation Manor Ct, Saint Peters, MO 63303-1232 | 2020-01-16 |
| 1023524535 | Steven Lee Hahne | Counselor | 1883 Lunenburg Dr, Saint Peters, MO 63376-8166 | 2017-12-19 |
| 1598270084 | Mariana Politte | Counselor | 111 Mexico Ct, Saint Peters, MO 63376-5102 | 2017-12-06 |
| 1366980237 | Anna Kisting | Counselor | 2705 Saint Peters Howell Rd Ste C, Saint Peters, MO 63376-2821 | 2017-02-10 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1003261777 | Stephanie Keune | Counselor | 2120 Parkway Drive, Bridgeway Behavioral Health, Saint Peters, MO 63376-6459 | 2016-04-29 |
| 1114396983 | Stefanie Pisarkiewicz | Counselor | 115 Lake Ridge Dr, Saint Peters, MO 63376-1836 | 2015-09-22 |
| 1447637053 | Katie O'brien | Counselor | 11 Knightsbridge Ct, Saint Peters, MO 63376-3688 | 2015-05-04 |
| 1750709879 | Kenyota Dokes | Counselor | 606 Davidson Ct, Saint Peters, MO 63376-2472 | 2014-04-05 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on LESLIE DAVIS.
| 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.