Provider Demographics
NPI:1134851009
Name:ANDES, LESLIE D (LPC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:D
Last Name:ANDES
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:D
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2885 W BATTLEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-3952
Mailing Address - Country:US
Mailing Address - Phone:417-761-5214
Mailing Address - Fax:
Practice Address - Street 1:7509 NW TIFFANY SPRINGS PKWY STE 320
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1387
Practice Address - Country:US
Practice Address - Phone:816-500-1355
Practice Address - Fax:816-569-6797
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022000007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty