# COMMONWEALTH PSYCHOLOGICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215299706
- **Authorized official:** DR. LEIGH A FORD PHD (LICENSED PSYCHOLOGICAL)
- **Authorized official phone:** (859) 338-8024

## Contact information

- **Practice address:** 147 MAIN ST, SUITE 210, PIKEVILLE, KY 41501-1147
- **Practice address phone:** (859) 338-8024
- **Practice address fax:** (606) 432-3890
- **Mailing address:** 147 MAIN ST, SUITE 210, PIKEVILLE, KY 41501-1147
- **Mailing address phone:** (859) 338-8024
- **Mailing address fax:** (606) 432-3890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1479 | KY | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 07/13/2012