MRS. LESLIE RANEY PEGRAM


Address: 111 E Sagebrush Ln, Savannah, GA 31419-9335
Phone: 9126601312

MRS. LESLIE RANEY PEGRAM (NPI# 1861789174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861789174
Entity Type Individual
Full Name MRS. LESLIE RANEY PEGRAM
Credential LPC
Practice Address 111 E Sagebrush Ln
Savannah
GA 31419-9335
Practice Telephone 9126601312
Mailing Telephone 9126601312
Enumeration Date 2011-07-07
Last Update Date 2013-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LPC005277 GA Behavioral Health & Social Service Providers

Office Location

Street Address 111 E SAGEBRUSH LN
City SAVANNAH
State GA
Zip Code 31419-9335

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1679133219 Rebecca Denise Brown-tuyishimire Counselor Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 2019-06-17
1356900856 Julio Roberto Castellanos Jr. Behavior Technician 785 King George Blvd Ste 103, Savannah, GA 31419 2019-06-07
1669941761 Paul-david Arthur Cooper Peer Specialist 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 2018-11-19
1326538521 Jay Carter Jr. Social Worker 1170 Shawnee St., Savannah, GA 31419 2018-05-14
1245771070 Emily Robertson Nurse Practitioner 11133 Abercorm Street, Suite 10, Savannah, GA 31419 2017-03-13
1760833750 Cady-jo Steidle Behavioral Analyst 143 Sugar Mill Cir, Savannah, GA 31419 2016-06-30
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144829102 Estefania Salinas Counselor 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 2020-10-21
1972065753 Steven David Maccauley Counselor 101 Stafford Rd, Savannah, GA 31410-4415 2019-04-02
1922571140 Tranquility Women's Health, Wellness and Empowerment Center Counselor 6605 Abercorn St Ste 209-a, Savannah, GA 31405-5815 2019-01-10
1912444621 Sarah Kristen Shuman Counselor 140 East 40th St, Savannah, GA 31401 2017-01-20
1689032161 Yolanda Parker Counselor 10710 Egmont Rd Apt 19, Savannah, GA 31406-4482 2016-01-29
1659738573 Thena Gibbs Counselor 515 E 63rd St Ste 5, Savannah, GA 31405-4344 2016-01-22
1467858423 Newday Counseling Services, LLC Counselor 1805 Abercorn St, Savannah, GA 31401-8121 2014-11-18
1083023618 The Reed House Counselor 1144 Cornwell Ave, Savannah, GA 31406 2014-08-07
1265871263 Seketa Niche Bing-nelson Counselor 6605 Abercorn St Ste 214-c, Savannah, GA 31405-5815 2013-06-24
1780977041 Cassaundra Thompson Counselor 835 E 65th St Ste 106, Savannah, GA 31405-4430 2011-05-19
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Competitor

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City SAVANNAH
Zip Code 31419

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Dataset Information

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.

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