| NPI | 1851669972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY SMITH-PUCKETT President 270-629-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0615) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2014-08-14 |