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General NPI Number Information
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NPI Number | 1376437939
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Entity Type | Organization
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Legal Business Name | FORD MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 126 TRIVETTE DR STE 202
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City | PIKEVILLE
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State | KY
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Zip | 41501-1275
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Country | US
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Telephone | 606-432-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 126 TRIVETTE DR STE 202
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City | PIKEVILLE
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State | KY
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Zip | 41501-1275
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Country | US
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Telephone | 606-432-6957
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LEIGH ANN FORD
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Credential | PSYCHOLOGIST
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Telephone | 606-432-6957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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