Provider Demographics
NPI:1235898438
Name:VEACH, LESLIE ANN (MS, NCC, LCMHCS)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN
Last Name:VEACH
Suffix:
Gender:F
Credentials:MS, NCC, LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 GENOA CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-7226
Mailing Address - Country:US
Mailing Address - Phone:252-563-8041
Mailing Address - Fax:
Practice Address - Street 1:1329 GENOA CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-7226
Practice Address - Country:US
Practice Address - Phone:252-563-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS7888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health