| Blooming Behavioral Health Llc | |
|
614 Jacksboro St Ferguson KY 42533-9555 | |
| (606) 687-1427 | |
| Not Available |
| Full Name | Blooming Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 614 Jacksboro St, Ferguson, Kentucky |
| Authorized Official Name and Position | Amber D Coyle (OWNER) |
| Authorized Official Contact | 6066871427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Behavioral Health Llc 614 Jacksboro St Ferguson KY 42533-9555 Ph: (606) 687-1427 | Blooming Behavioral Health Llc 614 Jacksboro St Ferguson KY 42533-9555 Ph: (606) 687-1427 |
| NPI Number | 1821840174 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821840174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Janie Ping Dba Renewed Hope Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Jacksboro St, Ferguson, KY 42533 Phone: 606-219-0614 Fax: 606-485-4193 |