| NPI | 1538779640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLYE SINGLETARY Co Owner 502-625-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-09-08 |