Provider Demographics
NPI:1689494924
Name:GARCIA, LESLEY ANN (MS, PLMHP, PLMFT)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:ANN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS, PLMHP, PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 70TH ST STE 335
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2469
Mailing Address - Country:US
Mailing Address - Phone:402-824-2170
Mailing Address - Fax:402-313-7821
Practice Address - Street 1:301 S 70TH ST STE 335
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2469
Practice Address - Country:US
Practice Address - Phone:402-824-2170
Practice Address - Fax:402-313-7821
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty