MEDICARE: LESLIE DE GRAAF LMHC

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	101YM0800X	Mental Health Counselor	MH20446	FL

General Provider Information

NPI Number	:	1932553815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE DE GRAAF LMHC

Provider Business Mailing Address
First Line	:	6014 US HIGHWAY 19 STE 303
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2547
Country	:	US
Telephone Number	:	833-473-3399
Fax Number	:

Provider Business Practice Location Address
First Line	:	6014 US HIGHWAY 19 STE 303
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2547
Country	:	US
Telephone Number	:	833-473-3399
Fax Number	:

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

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	03/09/2026

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Directions to “ LESLIE DE GRAAF LMHC” Practice Location

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