Provider Demographics
NPI:1124206271
Name:BINNIX, LES A (PMHNP, LPCMH)
Entity Type:Individual
Prefix:
First Name:LES
Middle Name:A
Last Name:BINNIX
Suffix:
Gender:M
Credentials:PMHNP, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 CARLSBAD CT
Mailing Address - Street 2:
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-4822
Mailing Address - Country:US
Mailing Address - Phone:818-438-8548
Mailing Address - Fax:410-630-3690
Practice Address - Street 1:685 CARLSBAD CT
Practice Address - Street 2:
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-4822
Practice Address - Country:US
Practice Address - Phone:818-438-8548
Practice Address - Fax:410-630-3690
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH1280101YM0800X
DEPC0000419101YM0800X
MDR241003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health