Organization
LEMA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY ANAGHO (REGISTER NURSE)
(901) 230-6745
Entity
Organization
Contact information
Practice address
1003 W WASHINGTON ST APT 4091, TEMPE, AZ 85288-0940
(901) 230-6745
Mailing address
1003 W WASHINGTON ST APT 4091, TEMPE, AZ 85288-0940
(901) 230-6745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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