Provider Demographics
NPI:1417519729
Name:ARMSTRONG, LESLIE (ALC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 MCALLISTER DR
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-5480
Mailing Address - Country:US
Mailing Address - Phone:601-912-2799
Mailing Address - Fax:205-216-0203
Practice Address - Street 1:750 HIGHWAY 31 S
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-4627
Practice Address - Country:US
Practice Address - Phone:601-912-2799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3311A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health