Leslie Blue Bunting, LCSW

Individual provider Active NPI Counselor · Lititz, PA

NPI 1518548890 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1518548890
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
79 E Main St Ste 302
Lititz, PA 17543-1941
Phone
(717) 455-0797
NPI assigned
Apr 18, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Now She Soars Current
since Jun 1, 2021
Accepting new patients
Now You Soar L. L. C. Current
since Aug 8, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

79 E Main St Ste 302
Lititz, PA 17543-1941

Mailing address

23 Kready Ave
Millersville, PA 17551-2005
Phone (717) 201-5656

Other providers in Lititz, PA

All providers in Lititz, PA · Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.