Brockman, Leslie Richard

Brockman, Leslie Richard is an individual health care provider with primary practice located at 5801 Curzon Ave Suite 2B, Fort Worth TX 76107-5800. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Brockman, Leslie Richard can be contacted via phone (817) 377-0808.

Contact Information

Primary practice address
5801 Curzon Ave Suite 2B Fort Worth TX 76107-5800
Phone: (817) 377-0808
Fax: (817) 377-0836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3152 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 8753 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10754 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 614 Texas

Profile Details

NPI number 1255404257
LBN Legal business name Brockman, Leslie Richard
Credentials LCSW, LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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