| NPI | 1053060210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNETTE COUCH Owner 859-644-5046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-10-21 |