Provider Demographics
NPI:1427942234
Name:AMADOR, LESLIE HOPE (LCSWA)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:HOPE
Last Name:AMADOR
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:HOPE
Other - Last Name:RUDASILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4358
Mailing Address - Country:US
Mailing Address - Phone:701-730-7003
Mailing Address - Fax:704-865-4614
Practice Address - Street 1:445 EARL RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-6700
Practice Address - Country:US
Practice Address - Phone:704-284-7008
Practice Address - Fax:704-751-3001
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP022097101YM0800X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist