Individual
LESLIE R VILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(318) 742-3408
(337) 261-9080
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(337) 212-7701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
8110
LA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8110
LA
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2018
Last updated
09/11/2025
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