Healthcare Provider Details

I. General information

NPI: 1891278826
Provider Name (Legal Business Name): LESHUNN RENEE MCLEOD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BALLINGTON WAY
CLANTON AL
35045-8490
US

IV. Provider business mailing address

106 BALLINGTON WAY
CLANTON AL
35045-8490
US

V. Phone/Fax

Practice location:
  • Phone: 334-728-5150
  • Fax:
Mailing address:
  • Phone: 334-728-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3934
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: