| Change Dynamics Therapy | |
|
1004 Edgewood Way Lawrenceburg KY 40342-1641 | |
| (859) 582-9606 | |
| Not Available |
| Full Name | Change Dynamics Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1004 Edgewood Way, Lawrenceburg, Kentucky |
| Authorized Official Name and Position | Cristy Carter (OWNER) |
| Authorized Official Contact | 8595829606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Dynamics Therapy 1004 Edgewood Way Lawrenceburg KY 40342-1641 Ph: (859) 582-9606 | Change Dynamics Therapy 1004 Edgewood Way Lawrenceburg KY 40342-1641 Ph: (859) 582-9606 |
| NPI Number | 1164010369 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164010369 | NPI | - | NPPES |
| 7100537200 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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