Provider Demographics
NPI:1407070584
Name:CECIL & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CECIL & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-509-0212
Mailing Address - Street 1:836 E EUCLID AVE
Mailing Address - Street 2:STE. 316
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1783
Mailing Address - Country:US
Mailing Address - Phone:859-509-0212
Mailing Address - Fax:859-268-9141
Practice Address - Street 1:836 E EUCLID AVE
Practice Address - Street 2:STE. 316
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1783
Practice Address - Country:US
Practice Address - Phone:859-509-0212
Practice Address - Fax:859-268-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0936301Medicare PIN
KY9363Medicare PIN