| Ad Astra Collaborative Therapy | |
|
940 Willards Lane Brandenburg KY 40108 | |
| (502) 203-9197 | |
| Not Available |
| Full Name | Ad Astra Collaborative Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 940 Willards Lane, Brandenburg, Kentucky |
| Authorized Official Name and Position | Jennifer Kendrick (THERAPIST - OWNER) |
| Authorized Official Contact | 5022039197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Astra Collaborative Therapy 940 Willards Lane Brandenburg KY 40108 Ph: (502) 203-9197 | Ad Astra Collaborative Therapy 940 Willards Lane Brandenburg KY 40108 Ph: (502) 203-9197 |
| NPI Number | 1891237442 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891237442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 104353 (Kentucky) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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