MEDICARE: LESLIE REYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MI4715

General Provider Information

NPI Number	:	1043140007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE REYES

Provider Business Mailing Address
First Line	:	6151 LAKESIDE DR STE 2000
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-8541
Country	:	US
Telephone Number	:	775-561-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 LAKESIDE DR STE 2000
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-8541
Country	:	US
Telephone Number	:	775-561-4328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ LESLIE REYES ” Practice Location

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