MEDICARE: LEXINGTON LEARNING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245699065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON LEARNING CENTER

Provider Business Mailing Address
First Line	:	1555 S GILBERT RD
Second Line	:	SUITE 109 -113
City	:	MESA
State	:	AZ
Zip	:	85204-4438
Country	:	US
Telephone Number	:	480-788-5106
Fax Number	:	844-273-5997

Provider Business Practice Location Address
First Line	:	1555 S GILBERT RD STE 109-113
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-6000
Country	:	US
Telephone Number	:	480-788-5106
Fax Number	:	844-273-5997

Authorized Official
Title or Position	:	BHS COORDINATOR
Name	:	JARED D HARKER
Credential	:
Telephone Number	:	480-788-5106

Provider Enumeration Date	:	02/22/2016
Last Update Date	:	07/21/2022

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