OrganizationActive
Leonard a Clark Lcsw Psc
NPI 1164086013 · Adult Mental Health Clinic/Center · Lexington, KY
Provider details
- NPI number
- 1164086013
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Larisa Yashchenko, Authorized Representative
Practice location
200 W Lowry Ln
Lexington, KY 40503-3019
Phone: (859) 229-8160
Fax: (859) 276-5206
Mailing address
200 W Lowry Ln
Lexington, KY 40503-3019
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.