| Ali Counseling Group Services Inc | |
|
312 N Mulberry St Ste 107 Elizabethtown KY 42701-1837 | |
| (502) 500-4452 | |
| Not Available |
| Full Name | Ali Counseling Group Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 312 N Mulberry St Ste 107, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Shameka Tawann Sells-moore (OWNER/COUNSELOR) |
| Authorized Official Contact | 5025004452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Counseling Group Services Inc 653 Windbrook Dr Elizabethtown KY 42701-6827 Ph: (502) 500-4452 | Ali Counseling Group Services Inc 312 N Mulberry St Ste 107 Elizabethtown KY 42701-1837 Ph: (502) 500-4452 |
| NPI Number | 1750126041 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 08/18/2024 |
| Certification Date | 08/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750126041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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