| NPI | 1699004572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENAFIER CARROLL Owner 270-300-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105389) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252349) |
| 1041C0700X Social Worker, Clinical (Licence: KY 5034) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 4016) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 162643) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 2072) | |
| 101YP2500X Counselor, Professional (Licence: KY 105656) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist (Licence: KY KY-1136) | |
| 103T00000X Psychologist (Licence: KY 162525) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2024-02-02 |