Healthcare Provider Details

I. General information

NPI: 1669302071
Provider Name (Legal Business Name): LESLIE ELIZABETH FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 DE LA VINA ST
SANTA BARBARA CA
93101-3114
US

IV. Provider business mailing address

PO BOX 90147
SANTA BARBARA CA
93190-0147
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-2785
  • Fax:
Mailing address:
  • Phone: 805-569-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC18842
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT153533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: