Provider Demographics
NPI:1346601374
Name:WESTCOTT, LESLIE ANN (LISW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN
Last Name:WESTCOTT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 SIGNAL HILL CT STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1481
Mailing Address - Country:US
Mailing Address - Phone:513-831-9408
Mailing Address - Fax:513-831-1333
Practice Address - Street 1:5720 SIGNAL HILL CT STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1481
Practice Address - Country:US
Practice Address - Phone:513-831-9408
Practice Address - Fax:513-831-1333
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI. 0001895101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health