Doctor Name: | MS. LYNDA HALE LESLIE |
NPI Number: | 1003976580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 09044005775 |
Business Practice Address: | 1700 Huguenot Rd Suite D Midlothian, VA - 231132397 |
Business Phone Number: | 8042633775 |
Business Fax Number: | 8043251670 |
Mailing Address: | 1700 Huguenot Rd, Suite D MIDLOTHIAN |
State: | VA |
Postal Code: | 231132397 |
Phone Number: | 8042633775 |
Fax Number: | 8043251670 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 09044005775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |