Provider Demographics
NPI:1427008127
Name:TRANOVICH, LESLIE LYNN (PCC, CDCA)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:LYNN
Last Name:TRANOVICH
Suffix:
Gender:F
Credentials:PCC, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-1025
Mailing Address - Country:US
Mailing Address - Phone:330-277-2293
Mailing Address - Fax:
Practice Address - Street 1:1207 W STATE ST
Practice Address - Street 2:SUITE, N
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4686
Practice Address - Country:US
Practice Address - Phone:330-823-6932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500684101YP2500X
OH101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)