Provider Demographics
NPI:1518205673
Name:HERRERA, LESLEY ORALIA (MS,LCDC,LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:ORALIA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MS,LCDC,LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 CEDAR ELM DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4103
Mailing Address - Country:US
Mailing Address - Phone:817-403-2057
Mailing Address - Fax:
Practice Address - Street 1:604 N BELL AVE
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-4276
Practice Address - Country:US
Practice Address - Phone:940-320-9478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67683101Y00000X
TX12424101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)