Leonard A Clark Lcsw Psc
Clinic/Center, Adult Mental Health in Lexington, KY. Organization (NPI-2).
NPI number1164086013
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1164086013
- Entity type
- Organization (NPI-2)
- Legal business name
- Leonard A Clark Lcsw Psc
- Organization subpart
- No
- Enumeration date
- Apr 25, 2019
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
200 W Lowry LnLexington, KY 40503-3019
Phone 859-229-8160 · Fax 859-276-5206
Mailing address
200 W Lowry LnLexington, KY 40503-3019
Phone 859-229-8160 · Fax 859-276-5206
Authorized official
Larisa Yashchenko
Authorized Representative
5025096679
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All 10 Adult Mental Health Clinic/Center providers in Lexington · All 17,069 providers in Lexington
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