Healthcare Provider Details

I. General information

NPI: 1649728098
Provider Name (Legal Business Name): L & P SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LEE ST
BELPRE OH
45714-2366
US

IV. Provider business mailing address

4537 OLD STATE ROUTE 56
ATHENS OH
45701-9178
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-0930
  • Fax:
Mailing address:
  • Phone: 740-590-6963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberC.1300267
License Number StateOH

VIII. Authorized Official

Name: GINA BENNETT
Title or Position: HUMAN RESOURCES
Credential:
Phone: 740-376-0930