Provider Demographics
NPI:1740725977
Name:HUNT, LESLIE ELIZABETH (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:ELIZABETH
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10108 VALENCIA DR
Mailing Address - Street 2:UNIT B
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-5836
Mailing Address - Country:US
Mailing Address - Phone:214-616-3771
Mailing Address - Fax:
Practice Address - Street 1:3662 PATTON LAKE RD
Practice Address - Street 2:
Practice Address - City:AQUILLA
Practice Address - State:TX
Practice Address - Zip Code:76622-2590
Practice Address - Country:US
Practice Address - Phone:469-206-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-26
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12253101YA0400X
TX70285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)