LIESA ETHERIDGE NPI 1023567138

NPI Information

  • NPI: 1023567138
  • Provider Name: LIESA ETHERIDGE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 205 N JACKSON ST
    FRANKFORT, IN
    ZIP 46041
  • Phone: (765) 659-4771

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NPI Details

Liesa Etheridge is a mental health counselor in Frankfort, IN. Liesa Etheridge NPI is 1023567138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 N JACKSON ST
FRANKFORT, IN
ZIP 46041-936
Phone: (765) 659-4771

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39002925AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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