Individual
PHYLLIS LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
961 BEASLEY ST STE 170, LEXINGTON, KY 40509-4120
(859) 230-4987
(859) 286-6448
Mailing address
961 BEASLEY ST STE 170, LEXINGTON, KY 40509-4120
(859) 396-3376
(859) 286-6448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100392090
—
KY
Enumeration date
07/14/2014
Last updated
10/31/2017
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