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NPI 1689528440

NPI 1689528440 : LESLEY NEELY ALC : HUNTSVILLE, AL

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General NPI Number Information
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    NPI Number           |    1689528440
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    Entity Type          |    Individual 
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    Provider Name        |    LESLEY NEELY ALC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2026
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    5151 RESEARCH DR NW 
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35805-5910
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    Country              |    US
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    Telephone            |    256-722-8091
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    Fax                  |    256-270-7019
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Provider Business Mailing Address
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    Address Line         |    5151 RESEARCH DR NW 
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35805-5910
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    Country              |    US
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    Telephone            |    256-722-8091
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    Fax                  |    256-270-7019
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    ALC04477
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    License Number State |    AL
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