| NPI | 1326663766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN SPEELMAN Co Owner/Clinical Counselor 859-354-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-10-28 |