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950 Red House Rd Richmond KY 40475-9392 | |
| (859) 582-2301 | |
| (844) 822-8194 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 950 Red House Rd, Richmond, Kentucky |
| Authorized Official Name and Position | Toni Gaines (OWNER, COUNSELOR) |
| Authorized Official Contact | 5027837573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
950 Red House Rd Richmond KY 40475-9392 Ph: (502) 783-7573 | 950 Red House Rd Richmond KY 40475-9392 Ph: (859) 582-2301 |
| NPI Number | 1114484649 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114484649 | NPI | - | NPPES |
| 7100611430 | Medicaid | KY |
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