Provider Demographics
NPI:1740955350
Name:LESLEY J NORRIS LMHC
Entity type:Organization
Organization Name:LESLEY J NORRIS LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-560-0366
Mailing Address - Street 1:51 S MAIN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3937
Mailing Address - Country:US
Mailing Address - Phone:727-560-0366
Mailing Address - Fax:727-287-9302
Practice Address - Street 1:51 S MAIN AVE STE 304
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3937
Practice Address - Country:US
Practice Address - Phone:727-560-0366
Practice Address - Fax:727-287-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1205115797OtherNPI