Provider Demographics
NPI:1679343628
Name:LENARD & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LENARD & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENARD
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:601-844-3719
Mailing Address - Street 1:10 CANEBRAKE BLVD STE 110-102
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-2211
Mailing Address - Country:US
Mailing Address - Phone:601-844-3719
Mailing Address - Fax:769-333-4135
Practice Address - Street 1:10 CANEBRAKE BLVD STE 110-102
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-2211
Practice Address - Country:US
Practice Address - Phone:601-844-3719
Practice Address - Fax:769-333-4135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty