Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Southall

Individual provider Professional Counselor · NPI 1205422094

Leslie Southall is a Professional Counselor in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2020.

Licensed in
AR
In the registry since
2020

Practice location Address checks out

1310 W Main St Ste 100
Russellville, AR 72801-2803
Phone: (479) 964-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2408002 (AR)

Record details

NPI number1205422094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 15, 2020
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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