Provider Demographics
NPI:1043297104
Name:ARMENIOX, LESLIE (PHD, LPC, ADTR)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:ARMENIOX
Suffix:
Gender:F
Credentials:PHD, LPC, ADTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 CHARLOTTE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2452
Mailing Address - Country:US
Mailing Address - Phone:336-457-6206
Mailing Address - Fax:336-665-6188
Practice Address - Street 1:1116 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2452
Practice Address - Country:US
Practice Address - Phone:336-457-6206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15102101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor