Doctor Name: | LESLIE RACHEL |
NPI Number: | 1518332220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH13318 |
Business Practice Address: | 214 E Washington St Suite A Minneola, FL - 347159227 |
Business Phone Number: | 3526386639 |
Business Fax Number: | |
Mailing Address: | 214 E Washington St, Suite A MINNEOLA |
State: | FL |
Postal Code: | 347159227 |
Phone Number: | 3526386639 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2015 |
NPI Last Update Date: | 12/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MH13318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |