Individual
MS. LYNDA HALE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 HUGUENOT RD, SUITE D, MIDLOTHIAN, VA 23113-2397
(804) 263-3775
(804) 325-1670
Mailing address
1700 HUGUENOT RD, SUITE D, MIDLOTHIAN, VA 23113-2397
(804) 263-3775
(804) 325-1670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09044005775
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010052114
—
VA
01
—
086279M
SENTARA
VA
01
—
146391
ANTHEM
VA
01
—
540505877
TRICARE
VA
Enumeration date
12/12/2006
Last updated
10/03/2013
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