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213b Saint George St Richmond KY 40475-2323 | |
| (859) 200-5666 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 213b Saint George St, Richmond, Kentucky |
| Authorized Official Name and Position | Kimberly May Alexander (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 8592005666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
213b Saint George St Richmond KY 40475-2323 Ph: (859) 200-5666 | 213b Saint George St Richmond KY 40475-2323 Ph: (859) 200-5666 |
| NPI Number | 1134772486 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134772486 | NPI | - | NPPES |
| 7100621850 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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