Ansera, Lete Mekonen

Ansera, Lete Mekonen is an sole proprietor health care provider with primary practice located at 4602 Southern Pkwy Ste 2C , Louisville KY 40214-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ansera, Lete Mekonen can be contacted via phone (502) 777-0213.

Contact Information

Primary practice address
4602 Southern Pkwy Ste 2C Louisville KY 40214-1442
Phone: (502) 777-0213
Fax: (855) 894-9366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0871 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 167084 Kentucky

Profile Details

NPI number 1821205865
LBN Legal business name Ansera, Lete Mekonen
Credentials D.MIN, LCADC, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Aug 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821205865 NPPES
Kentucky MEDICAID 7100506380

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