Healthcare Provider Details

I. General information

NPI: 1982531745
Provider Name (Legal Business Name): LESLIE PATTERSON, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 S 3RD ST
BATESVILLE AR
72501-5617
US

IV. Provider business mailing address

1592 PORTER ST
BATESVILLE AR
72501-3519
US

V. Phone/Fax

Practice location:
  • Phone: 870-612-3577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LESLIE PATTERSON
Title or Position: LCSW/ OWNER
Credential:
Phone: 870-612-3577