IndividualActive
Leandra Solis
NPI 1619602968 · Early Intervention Provider Agency · Port Wentworth, GA
Provider details
- NPI number
- 1619602968
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
108 Birch Cir
Port Wentworth, GA 31407-3322
Phone: (512) 496-8536
Approximate (ZIP-level) locationGet directions
Mailing address
108 Birch Cir
Port Wentworth, GA 31407-3322
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.