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Behavioral Health & Social Service Providers Counselor

Provider NPI: 1316364847

Organization Information:
Organization is not Subpart
Authorized Official:  STEVANIE  SMITH  PROGRAM DIRECTOR/THERAPIST  859-492-8509

Practice Location:
Tel: 859-492-8509  Fax: 859-317-9034

Business Mailing Address:
Tel: 859-492-8509  Fax: --

NPI Information:
NPI: 1316364847
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
N101YA0400XBehavioral Health & Social Service Providers
N101YM0800XBehavioral Health & Social Service Providers
N101YP1600XBehavioral Health & Social Service Providers
N101YP2500XBehavioral Health & Social Service Providers
N103TP0016XBehavioral Health & Social Service Providers
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Case Management
In Home Supportive Care
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Community/Behavioral Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251S00000X





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