MR. DAVID C. MAYNARD, MA, LPCC, NCC - NPI NUMBER 1750428975

Summary

Provider Name: MR. DAVID C. MAYNARD, MA, LPCC, NCC

NPI Number: 1750428975

Clasification: Counselor (101Y00000X)

Address:
1151 RED MILE RD
LEXINGTON, KY
ZIP 40504

Phone Number: (859) 229-8222



Detailed Information

MR. David C. Maynard, MA, LPCC, NCC is a counselor in Lexington, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master�s degree and clinical experience and supervision for licensure or certification. The assigned NPI number for this provider is 1750428975 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1151 RED MILE RD
LEXINGTON, KY
ZIP 40504-649
Phone: (859) 229-8222
Fax: (859) 272-1477

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/6/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101Y00000X Counselor 256646 KY No
2 101YP2500X Counselor Professional 1096 KY Yes

NPI Record

No. Field Name Field Value
1 NPI 1750428975
2 Entity Type Code 1
3 Provider Last Name Legal Name MAYNARD
4 Provider First Name DAVID
5 Provider Middle Name C.
6 Provider Name Prefix Text MR.
7 Provider Credential Text MA, LPCC, NCC
8 Provider First Line Business Practice Location Address 1151 RED MILE RD
9 Provider Business Practice Location Address City Name LEXINGTON
10 Provider Business Practice Location Address State Name KY
11 Provider Business Practice Location Address Postal Code 405042649
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8592298222
14 Provider Business Practice Location Address Fax Number 8592721477
15 Provider Enumeration Date 1/30/2007
16 Last Update Date 7/6/2010
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 101Y00000X
19 Provider License Number 1 256646
20 Provider License Number State Code 1 KY
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 101YP2500X
23 Provider License Number 2 1096
24 Provider License Number State Code 2 KY
25 Healthcare Provider Primary Taxonomy Switch 2 Y
26 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.