MEDICARE: LEKESHA SLAUGHTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency	2138780	AZ
2	385HR2055X	Child Mental Illness Respite Care	2138780	AZ
3	103K00000X	Behavior Analyst	2138780	AZ

General Provider Information

NPI Number	:	1215249677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEKESHA SLAUGHTER

Provider Business Mailing Address
First Line	:	6127 N 135TH DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-5346
Country	:	US
Telephone Number	:	623-329-5474
Fax Number	:

Provider Business Practice Location Address
First Line	:	6127 N 135TH DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-5346
Country	:	US
Telephone Number	:	623-329-5474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/25/2025

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Directions to “ LEKESHA SLAUGHTER ” Practice Location

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