| NPI | 1467139410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER J BLANTON Owner 859-421-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-08-21 |