Lesa Lackey Doan,P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C-574 Issued in AR

Legal business name

LESA LACKEY DOAN,P.A.

Practice address

11215 Hermitage Road
Suite 200
Little Rock, AR 72211

Phone

(501) 221-2811

Fax

(501) 221-2812

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lesa Lackey Doan, LCSWNPI 1033147111

Title

Owner

Phone

(501) 221-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE FAMILY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesa Lackey Doan, LCSW ACSW BCD RPTS

  • Social Worker
  • Little Rock, AR
  • NPI 1033147111
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942394564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE ROAD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-221-2811",
            "fax_number": "501-221-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE ROAD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-221-2811",
            "fax_number": "501-221-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESA LACKEY DOAN,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "LACKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-221-2811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "C-574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL IDENTIFIER",
            "identifier": "1033147111",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FAMILY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewel Leonard
• Sabrina S Leonard, PA-C
• Nancy Williams Leopard, M.A., CCC-SLP
• Bradford David Lepik II, MD
• Les Smith PA
• Amber Marie Lesko, M.S, R.D, L.D.
• Leslie P Cooner DDS PA
• Leslie Porter, Inc
• Anika Elayne Leslie, APRN-ACP
• Dawn S Leslie

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.