Innovative Counseling Services Of Ky | |
213b Saint George St Richmond KY 40475-2323 | |
(859) 200-5666 | |
Not Available |
Full Name | Innovative Counseling Services Of Ky |
---|---|
Speciality | Counselor - Professional |
Location | 213b Saint George St, Richmond, Kentucky |
Authorized Official Name and Position | Kimberly May Alexander (OWNER/CLINICAL THERAPIST) |
Authorized Official Contact | 8592005666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovative Counseling Services Of Ky 213b Saint George St Richmond KY 40475-2323 Ph: (859) 200-5666 | Innovative Counseling Services Of Ky 213b Saint George St Richmond KY 40475-2323 Ph: (859) 200-5666 |
NPI Number | 1134772486 |
---|---|
Provider Enumeration Date | 07/16/2019 |
Last Update Date | 04/06/2021 |
Certification Date | 04/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134772486 | NPI | - | NPPES |
7100621850 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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