Provider Demographics
NPI:1073969689
Name:CHARLOTTE HILER EASLEY LCSW, LLC
Entity Type:Organization
Organization Name:CHARLOTTE HILER EASLEY LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:HILER
Authorized Official - Last Name:EASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-806-8280
Mailing Address - Street 1:PO BOX 11770
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40577-1770
Mailing Address - Country:US
Mailing Address - Phone:859-806-8280
Mailing Address - Fax:
Practice Address - Street 1:118 CONSTITUTION ST STE 130
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-2111
Practice Address - Country:US
Practice Address - Phone:859-806-8280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty