Provider Demographics
NPI:1568035657
Name:LESTER, LEANDRA (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:LEANDRA
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 WILDBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6764
Mailing Address - Country:US
Mailing Address - Phone:214-477-1757
Mailing Address - Fax:
Practice Address - Street 1:3015 MEDLIN DR STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2360
Practice Address - Country:US
Practice Address - Phone:214-477-1757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health