Provider Demographics
NPI:1497551261
Name:LESUEUR, HALLE A (MS, LMFT)
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:A
Last Name:LESUEUR
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:HALLE
Other - Middle Name:A
Other - Last Name:MOSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 GRANDE OAK BLVD APT 404
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-3734
Mailing Address - Country:US
Mailing Address - Phone:601-940-1627
Mailing Address - Fax:
Practice Address - Street 1:60 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1600
Practice Address - Country:US
Practice Address - Phone:855-629-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health