Provider Demographics
NPI:1083228415
Name:LEFEVER, MOLLIE MARIE
Entity Type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:MARIE
Last Name:LEFEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 LEVISA DR
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-9352
Mailing Address - Country:US
Mailing Address - Phone:606-483-3199
Mailing Address - Fax:
Practice Address - Street 1:204 LEVISA DR
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230-9352
Practice Address - Country:US
Practice Address - Phone:606-483-3199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist