According to our database, the NPI number for Liesa Etheridge is 1023567138 and activated since 7 years ago. Liesa Etheridge is an individual provider who specializes in Mental Health, and the primary practice location is 205 N Jackson St, Frankfort, IN 46041. You can also contact Liesa Etheridge via telephone number is (765) 659-4771. Provider NPI information was last updated on 09/30/2016.

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Overview of Liesa Etheridge

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/30/2016
  • Last updated: 09/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 39002925A
  • License State: IN

Provider Mailing Address

  • Address: 6626 E 75th St
    Ste 500
    Indianapolis, IN 46250
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 205 N Jackson St
    Frankfort, IN 46041
  • Phone: 765-659-4771
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 39002925A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Liesa Etheridge?
  • A: The npi number for Liesa Etheridge is 1023567138.
  • Q: What are Liesa Etheridge's specialties?
  • A: Liesa Etheridge's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Liesa Etheridge?
  • A: The medical license number for Liesa Etheridge is 39002925A and issued in IN in USA.
  • Q: Where is Liesa Etheridge practice location?
  • A: Liesa Etheridge is practicing at 205 N Jackson St, Frankfort, IN 46041.
  • Q: How to contact Liesa Etheridge?
  • A: You can contact Liesa Etheridge via 765-659-4771.