Healthcare Provider Details

I. General information

NPI: 1932027828
Provider Name (Legal Business Name): LESLIE LYNN MCCLEESE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MILAN AVE
NORWALK OH
44857-1131
US

IV. Provider business mailing address

7025 C.R. 191
BELLEVUE OH
44811
US

V. Phone/Fax

Practice location:
  • Phone: 567-743-7199
  • Fax: 567-345-6014
Mailing address:
  • Phone: 567-345-7199
  • Fax: 567-345-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberS.2004920
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: