Provider Demographics
NPI:1255424925
Name:GARY L. LEMMON & ASSOCIATES, INC.
Entity type:Organization
Organization Name:GARY L. LEMMON & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEMMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:618-378-3010
Mailing Address - Street 1:904 EAST MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:NORRIS CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62869-1118
Mailing Address - Country:US
Mailing Address - Phone:618-378-3010
Mailing Address - Fax:618-378-2308
Practice Address - Street 1:904 EAST MAIN ST.
Practice Address - Street 2:
Practice Address - City:NORRIS CITY
Practice Address - State:IL
Practice Address - Zip Code:62869-1118
Practice Address - Country:US
Practice Address - Phone:618-378-3010
Practice Address - Fax:618-378-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty