Provider Demographics
NPI:1326838798
Name:BOLLINGER, LESLIE K (BT)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:K
Last Name:BOLLINGER
Suffix:
Gender:
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 23RD AVENUE DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7927
Mailing Address - Country:US
Mailing Address - Phone:828-303-0983
Mailing Address - Fax:
Practice Address - Street 1:375 MAIN AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5121
Practice Address - Country:US
Practice Address - Phone:828-459-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician