| Lionheart Community Support Services | |
|
3147 Custer Dr Lexington KY 40517-4020 | |
| (859) 314-8786 | |
| Not Available |
| Full Name | Lionheart Community Support Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3147 Custer Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Katherine Pennington (CEO) |
| Authorized Official Contact | 8593148786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lionheart Community Support Services 3147 Custer Dr Lexington KY 40517-4020 Ph: (859) 314-8786 | Lionheart Community Support Services 3147 Custer Dr Lexington KY 40517-4020 Ph: (859) 314-8786 |
| NPI Number | 1295427714 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295427714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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