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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