| NPI | 1871362483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LAUREN CORNETT Licensed Psychologist 859-285-6534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC1900X Psychologist Counseling | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2025-08-02 |