Provider Demographics
NPI:1285274134
Name:LESHEA S NOCK, LMFT
Entity type:Organization
Organization Name:LESHEA S NOCK, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-445-5796
Mailing Address - Street 1:33595 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5633
Mailing Address - Country:US
Mailing Address - Phone:760-445-5796
Mailing Address - Fax:
Practice Address - Street 1:33595 ABBEY RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5633
Practice Address - Country:US
Practice Address - Phone:760-445-5796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty