| Georgetown Counseling Services | |
|
137 E Main St Georgetown KY 40324-1786 | |
| (859) 312-6400 | |
| (859) 309-4588 |
| Full Name | Georgetown Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 137 E Main St, Georgetown, Kentucky |
| Authorized Official Name and Position | Kim Petrae Johnson (OWNER) |
| Authorized Official Contact | 8593126400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Counseling Services 315 N Broadway St Georgetown KY 40324-1305 Ph: (859) 312-6400 | Georgetown Counseling Services 137 E Main St Georgetown KY 40324-1786 Ph: (859) 312-6400 |
| NPI Number | 1669907994 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669907994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3292 (Kentucky) | Primary |
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