| Nlc Consulting Services, Llc. | |
|
431 S Broadway Ste 121 Lexington KY 40508-2955 | |
| (859) 317-9558 | |
| (859) 406-1066 |
| Full Name | Nlc Consulting Services, Llc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 431 S Broadway Ste 121, Lexington, Kentucky |
| Authorized Official Name and Position | Dominique Lashan Wilson (OWNER) |
| Authorized Official Contact | 8593123744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nlc Consulting Services, Llc. Po Box 11851 Lexington KY 40578-1851 Ph: (859) 317-9558 | Nlc Consulting Services, Llc. 431 S Broadway Ste 121 Lexington KY 40508-2955 Ph: (859) 317-9558 |
| NPI Number | 1124792833 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124792833 | NPI | - | NPPES |
| 7100857890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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