Birchwood Healing Place | |
3101 Clays Mill Rd Ste 204 Lexington KY 40503-2781 | |
(859) 312-6569 | |
(855) 594-5062 |
Full Name | Birchwood Healing Place |
---|---|
Speciality | Social Worker - Clinical |
Location | 3101 Clays Mill Rd Ste 204, Lexington, Kentucky |
Authorized Official Name and Position | Loretta Lynn Gilmore (LICENSED CLINICAL SOCIAL WORK / OWN) |
Authorized Official Contact | 8593126569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Birchwood Healing Place 3101 Clays Mill Rd Ste 204 Lexington KY 40503-2781 Ph: (859) 312-6569 | Birchwood Healing Place 3101 Clays Mill Rd Ste 204 Lexington KY 40503-2781 Ph: (859) 312-6569 |
NPI Number | 1033684477 |
---|---|
Provider Enumeration Date | 10/12/2018 |
Last Update Date | 10/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033684477 | NPI | - | NPPES |
7100422750 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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