| Aspire Mentoring Foundation Llc | |
|
1501 Normalview Dr Bowling Green KY 42101-2834 | |
| (270) 303-4669 | |
| Not Available |
| Full Name | Aspire Mentoring Foundation Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1501 Normalview Dr, Bowling Green, Kentucky |
| Authorized Official Name and Position | Demetrius King (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2703034669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Mentoring Foundation Llc 1501 Normalview Dr Bowling Green KY 42101-2834 Ph: (270) 303-4669 | Aspire Mentoring Foundation Llc 1501 Normalview Dr Bowling Green KY 42101-2834 Ph: (270) 303-4669 |
| NPI Number | 1467099135 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467099135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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