LESLIE H PETRUK LPC
NPI 1336604842
Counselor - Professional in Charlotte, NC

Active since February 08, 2019
1821 CUMBERLAND AVE, CHARLOTTE, NC 28203(704) 665-0065 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Leslie H Petruk Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE H PETRUK LPC (NPI 1336604842) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (4290) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1336604842
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLESLIE H PETRUKCredential: LPC
Location Address1821 CUMBERLAND AVECharlotte, NC 28203-6112
Mailing Address1821 Cumberland AveCharlotte, NC 28203-6112 · (704) 665-0065
Sole ProprietorYes
Enumeration DateFebruary 8, 2019
NPI 1336604842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 4290
1821 CUMBERLAND AVE, Charlotte, NC 28203

Other Names 1

Former Name (1)Leslie H Petruk Pedulla

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1821 CUMBERLAND AVE
CHARLOTTE, NC 28203
Counselor (Professional)
1821 CUMBERLAND AVE
CHARLOTTE, NC 28203
Counselor (Professional)
1821 CUMBERLAND AVE
CHARLOTTE, NC 28203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Petruk's NPI number?

The NPI number for Leslie Petruk is 1336604842. It was assigned to this individual provider in the NPPES registry on February 8, 2019. The provider is also known as Leslie H Petruk Pedulla.

Where is Leslie Petruk located?

Leslie Petruk practices at 1821 Cumberland Ave, Charlotte, NC 28203. The listed phone number is (704) 665-0065.

What is Leslie Petruk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Leslie Petruk accept?

Health plans from Blue Cross and Blue Shield of NC list Leslie Petruk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Petruk was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.