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LESA LACKEY DOANP.A. NPI 1942394564


NPI Information

NPI: 1942394564
Provider Name: LESA LACKEY DOAN,P.A.

Doing Business As: THE FAMILY CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11215 HERMITAGE ROAD
SUITE 200
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 221-2811
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LESA LACKEY DOAN,P.A. is a mental health counselor in Little Rock, AR. LESA LACKEY DOAN,P.A. NPI is 1942394564. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Family Center.

The provider's business location address is:

11215 HERMITAGE ROAD
SUITE 200
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 221-2811
Fax: (501) 221-2812

The provider's authorized official is Lesa Lackey Doan .
The authorized official title is Owner and has the following contact phone number (501) 221-2811.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthC-574ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033147111OTHERARKANSASNPI INDIVIDUAL IDENTIFIER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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