NPI | 1013736438 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PICKETT Owner 859-619-5659 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
1041C0700X Social Worker, Clinical | |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SA2100X Clinical Nurse Specialist, Acute Care | |
207R00000X Internal Medicine | |
2083A0300X Preventive Medicine, Addiction Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2024-10-03 |
Last Update Date | 2025-07-09 |