MEDICARE: LHC LCPC LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427913508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHC LCPC LLC

Provider Business Mailing Address
First Line	:	PO BOX 12542
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89112-0542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10446 FANCY FERN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-5221
Country	:	US
Telephone Number	:	818-267-6016
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDRIA CLEVERLY
Credential	:
Telephone Number	:	818-267-6016

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “LHC LCPC LLC ” Practice Location

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