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General NPI Number Information
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NPI Number | 1306270335
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Entity Type | Organization
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Legal Business Name | LEXINGTON THERAPY, LLC
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 501 DARBY CREEK RD SUITE 50
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City | LEXINGTON
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State | KY
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Zip | 40509-1604
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Country | US
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Telephone | 859-937-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 501 DARBY CREEK RD SUITE 50
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City | LEXINGTON
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State | KY
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Zip | 40509-1604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KARA F MCDONALD
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Credential | LMFT
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Telephone | 859-937-1707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0614
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0737
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3344
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1423
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3541
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0738
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License Number State | KY
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