Provider Demographics
NPI:1386465995
Name:DELANEY, LESLIE (LMHC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EDGEWATER DR APT 206
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6936
Mailing Address - Country:US
Mailing Address - Phone:786-351-0708
Mailing Address - Fax:
Practice Address - Street 1:21 EDGEWATER DR APT 206
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-6936
Practice Address - Country:US
Practice Address - Phone:786-351-0708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24444101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health