Provider Demographics
NPI:1922533595
Name:LEXINGTON BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:LEXINGTON BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:HARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-788-5106
Mailing Address - Street 1:1555 S GILBERT RD STE 113
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6000
Mailing Address - Country:US
Mailing Address - Phone:480-788-5106
Mailing Address - Fax:
Practice Address - Street 1:1555 S GILBERT RD STE 113
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204
Practice Address - Country:US
Practice Address - Phone:480-788-5106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEXINGTON SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-20
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health