Provider Demographics
NPI:1245699065
Name:LEXINGTON LEARNING CENTER
Entity type:Organization
Organization Name:LEXINGTON LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BHS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:D
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
Mailing Address - Street 2:SUITE 109 -113
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-4438
Mailing Address - Country:US
Mailing Address - Phone:480-788-5106
Mailing Address - Fax:844-273-5997
Practice Address - Street 1:1555 S GILBERT RD STE 109-113
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6000
Practice Address - Country:US
Practice Address - Phone:480-788-5106
Practice Address - Fax:844-273-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health