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Organization

LIONHEART TRAUMA SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE L. PENNINGTON LCSW (OWNER)
(859) 314-8786
Entity
Organization

Contact information

Practice address
3147 CUSTER DR, LEXINGTON, KY 40517-4020
(859) 447-0855
(859) 479-1090
Mailing address
3147 CUSTER DR, LEXINGTON, KY 40517-4020
(859) 314-8786
(859) 479-1090

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100479060
KY
05
7100575840
KY
05
Q093012
TN
05
Q095246
TN
Enumeration date
11/19/2018
Last updated
01/12/2026
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