MEDICARE: LESLEY MCCARTHY LPCC-S

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	265182	KY

General Provider Information

NPI Number	:	1891394045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLEY MCCARTHY LPCC-S

Provider Business Mailing Address
First Line	:	1215 SOUTHTOWN BLVD STE 102
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42301-7407
Country	:	US
Telephone Number	:	270-993-6485
Fax Number	:	270-713-0607

Provider Business Practice Location Address
First Line	:	1215 SOUTHTOWN BLVD STE 102
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42301-7407
Country	:	US
Telephone Number	:	270-993-6485
Fax Number	:	270-713-0607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	03/20/2026

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