Mustard Tree Counseling, Inc. | |
620 Big Hill Ave Suite 15 Richmond KY 40475-2501 | |
(859) 626-0001 | |
Not Available |
Full Name | Mustard Tree Counseling, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 620 Big Hill Ave, Richmond, Kentucky |
Authorized Official Name and Position | Samuel Anthony Miller (VICE PRESIDENT) |
Authorized Official Contact | 8596260001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mustard Tree Counseling, Inc. 620 Big Hill Ave Suite 15 Richmond KY 40475-2501 Ph: (859) 626-0001 | Mustard Tree Counseling, Inc. 620 Big Hill Ave Suite 15 Richmond KY 40475-2501 Ph: (859) 626-0001 |
NPI Number | 1265858559 |
---|---|
Provider Enumeration Date | 03/11/2014 |
Last Update Date | 03/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265858559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | KY1533 (Kentucky) | Primary |
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