| NPI | 1255878013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SPILMAN WILLIAMSON Office Manager 270-360-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 100449) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 130306) |
| 1041C0700X Social Worker, Clinical (Licence: KY 6303) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 105306) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 0815) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 0887) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3002005) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |