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Organization
LESA LACKEY DOAN,P.A.
Active
Organization
LESA LACKEY DOAN,P.A.
Active
Other names
THE FAMILY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESA LACKEY DOAN LCSW (OWNER)
(501) 221-2811
Entity
Organization
Contact information
Practice address
11215 HERMITAGE ROAD, SUITE 200, LITTLE ROCK, AR 72211
(501) 221-2811
(501) 221-2812
Mailing address
11215 HERMITAGE ROAD, SUITE 200, LITTLE ROCK, AR 72211
(501) 221-2811
(501) 221-2812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-574
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033147111
NPI INDIVIDUAL IDENTIFIER
AR
Enumeration date
10/03/2006
Last updated
08/22/2020
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