Provider Demographics
NPI:1346085693
Name:MCREYNOLDS, LESLIE ELLEN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:ELLEN
Last Name:MCREYNOLDS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 AMHEARST LN STE 245
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7528
Mailing Address - Country:US
Mailing Address - Phone:469-955-3373
Mailing Address - Fax:
Practice Address - Street 1:1100 PARKER SQ STE 245
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7459
Practice Address - Country:US
Practice Address - Phone:940-290-0892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92327101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional