Provider Demographics
NPI:1134292212
Name:SCHENK, LESLIE JACOBS (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JACOBS
Last Name:SCHENK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 E COLONY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3984
Mailing Address - Country:US
Mailing Address - Phone:615-662-3523
Mailing Address - Fax:
Practice Address - Street 1:7417 E COLONY DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3984
Practice Address - Country:US
Practice Address - Phone:615-662-3523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN774101YP2500X
TN0000000774101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional