MEDICARE: LESLIE NEVINS TATE M.ED., LPC, MAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	508958	SC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	1411259	SC
3	101YP2500X	Professional Counselor	5562	SC

General Provider Information

NPI Number	:	1457617342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE NEVINS TATE M.ED., LPC, MAC

Provider Business Mailing Address
First Line	:	104 FARRAR LN
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29650-2632
Country	:	US
Telephone Number	:	864-382-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 THE PKWY STE K
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29650-5205
Country	:	US
Telephone Number	:	864-382-1515
Fax Number	:

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

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	12/20/2024

Similar Medicare Providers

1245791656 — DR. HENRY CHASE BRADFORD IV MD
Practice Location Address:

420 THE PKWY STE L
GREER, SC
29650-5205

Practice Phone: 508-985-8805
Practice Fax:

1033406541 — MRS. CARLSON COLE CLELLAND MSP, CCC-SLP
Practice Location Address:

420 THE PKWY STE M
GREER, SC
29650-5205

Practice Phone: 864-244-3474
Practice Fax: 864-244-3475

1184986580 — MEREDITH BERGEY VEJNAR M.D.
Practice Location Address:

420 THE PKWY STE J
GREER, SC
29650-5205

Practice Phone: 864-609-3494
Practice Fax: 833-973-5700

1538406491 — LOREN ELAINE CRAGLE PA-C
Practice Location Address:

420 THE PKWY STE N
GREER, SC
29650-5205

Practice Phone: 864-655-4005
Practice Fax:

1679812960 — BALANCED SOLUTION LLC
Practice Location Address:

420 THE PKWY STE N
GREER, SC
29650-5205

Practice Phone: 864-662-7655
Practice Fax: 864-662-7657

1619302148 — SARAH C THOMPSON MS, CCC-SLP
Practice Location Address:

420 THE PKWY STE J
GREER, SC
29650-5205

Practice Phone: 864-244-3474
Practice Fax: 864-244-3475

Directions to “ LESLIE NEVINS TATE M.ED., LPC, MAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.