Creating Boundaries, Llc | |
200 E Main St Ste 208 Richmond KY 40475-1628 | |
(488) 488-1096 | |
Not Available |
Full Name | Creating Boundaries, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 200 E Main St Ste 208, Richmond, Kentucky |
Authorized Official Name and Position | Daniel Sulfridge (OWNER/THERAPIST) |
Authorized Official Contact | 8594881096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creating Boundaries, Llc Po Box 523 Richmond KY 40476-0523 Ph: (859) 488-1096 | Creating Boundaries, Llc 200 E Main St Ste 208 Richmond KY 40475-1628 Ph: (488) 488-1096 |
NPI Number | 1598370819 |
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Provider Enumeration Date | 09/14/2020 |
Last Update Date | 09/14/2020 |
Certification Date | 09/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598370819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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