Provider Demographics
NPI:1326155086
Name:SCHULTEA, LESLIE TRUITT (MS, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:TRUITT
Last Name:SCHULTEA
Suffix:
Gender:F
Credentials:MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16619 HAMILTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6958
Mailing Address - Country:US
Mailing Address - Phone:281-304-0404
Mailing Address - Fax:281-376-8008
Practice Address - Street 1:6823 CYPRESSWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7705
Practice Address - Country:US
Practice Address - Phone:281-376-8006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 12519101YM0800X
TXLMFT 4637106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist