Leslie Bowllan, MS, LCMHC
Individual provider Active NPI Mental Health Counselor · Cornelius, NC
NPI 1962033449 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1962033449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12436 (NC)
- Practice address
- 20816 N Main St Ste 203
Cornelius, NC 28031-8468 - Phone
- (704) 464-2232
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12436 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12436 | NC | Yes |
Addresses
Primary practice location
20816 N Main St Ste 203
Cornelius, NC 28031-8468
Mailing address
20816 N Main St Ste 203
Cornelius, NC 28031-8468
Phone (704) 464-2232
Other providers in Cornelius, NC
- Pamela Boston
- Anna Taylor Boulware
- Casey Leann Bowden
- Chanel C. Bowen
- Melissa D Bowen
- Kristopher Scott Boyd
- Kylie Boyer
- Andrew Curtis Brackins
- Sam Brake
- Tracey Renee Brake
All providers in Cornelius, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.