| NPI | 1750910964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PARSONS Owner 859-533-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-09-26 |