Provider Demographics
NPI:1942892294
Name:ANDERSON, LEILA CHRISTINE (LMFT-S, LCDC)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:CHRISTINE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMFT-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 MENOMINEE FALLS LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-6122
Mailing Address - Country:US
Mailing Address - Phone:325-267-0608
Mailing Address - Fax:
Practice Address - Street 1:815 ELLIOTT RANCH RD
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-9334
Practice Address - Country:US
Practice Address - Phone:833-330-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202709106H00000X
TX15580101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)