| NPI | 1407354053 |
|---|---|
| Other Name | WELLFRONT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TYLER STICKLE Dir. Field Ops 502-418-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: KY 1243) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251S00000X | |
| 253J00000X Foster Care Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QV0200X Clinic/Center, VA | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-06-16 |