Lance Leonard Corral in Indianapolis - Mental Health
Lance Leonard Corral - NPI 1790865897
Lance Leonard Corral is a Mental Health in Indianapolis, Indiana. Lance Leonard Corral practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lance Leonard Corral is 1790865897. The last update date is 2020-11-05.
Lance Leonard Corral's current location address is 6626 E 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 3176217561 and fax number 3173556096. The mailing address for Lance Leonard Corral is 6626 E 75th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Leonard Corral |
|---|---|
| Address | 6626 E 75th Street, Indianapolis, Indiana |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1790865897 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2020-11-05 |
Provider Mailing Address Detail
| Address | 6626 E 75th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502890 |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 39002248A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100270530 | IN | -- |
Post Comment/ Review Below
What is the Lance Leonard Corral's unique identification number?
The Lance Leonard Corral has been assigned the NPI (National Provider Identifier) Number 1790865897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lance Leonard Corral's facilities are geographically located?
The facilities of Lance Leonard Corral are physically situated at the following location: 6626 E 75Th Street, Indianapolis, IN, 462502890.
What is Lance Leonard Corral's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lance Leonard Corral is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date was the 1790865897 assigned to Lance Leonard Corral?
The Lance Leonard Corral was issued its 1790865897 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lance Leonard Corral most recently updated?
The details pertaining to the Lance Leonard Corral, including its address, specialty, and other relevant information, were last refreshed on 2020-11-05.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY