Healthcare Provider Details

I. General information

NPI: 1386575678
Provider Name (Legal Business Name): LESLIE SMITH MA, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 E MAIN ST
SPINDALE NC
28160-1938
US

IV. Provider business mailing address

116 AMBER LE ACRES
ELLENBORO NC
28040-9331
US

V. Phone/Fax

Practice location:
  • Phone: 704-466-0162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-31474
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: