Young, Lesa
Young, Lesa is an sole proprietor health care provider with primary practice located at 204 Bevins Ln Ste A , Georgetown KY 40324-6145. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Young, Lesa can be contacted via phone (859) 951-9777.Contact Information
Primary practice address
204 Bevins Ln Ste A
Georgetown KY 40324-6145
Phone: (859) 951-9777
Fax: (859) 951-9779
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 167911 | Kentucky |
Profile Details
NPI number | 1821537002 |
---|---|
LBN Legal business name | Young, Lesa |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2017 |
Last updated | Nov 20th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821537002 | NPPES |
Kentucky | MEDICAID | 7100576350 |
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