Provider Demographics
NPI:1215258348
Name:CASIAS, LESLEY (LPCI)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:CASIAS
Suffix:
Gender:F
Credentials:LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12030 BANDERA RD STE 108
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4736
Mailing Address - Country:US
Mailing Address - Phone:210-241-2591
Mailing Address - Fax:
Practice Address - Street 1:12030 BANDERA RD STE 108
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4736
Practice Address - Country:US
Practice Address - Phone:210-241-2591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional