| Inside Out, Llc | |
|
908 S Lincoln Blvd Hodgenville KY 42748-1702 | |
| (270) 723-1220 | |
| Not Available |
| Full Name | Inside Out, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 908 S Lincoln Blvd, Hodgenville, Kentucky |
| Authorized Official Name and Position | Melanie L Staderman (OWNER) |
| Authorized Official Contact | 2707231220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inside Out, Llc Po Box 418 Hodgenville KY 42748-0418 Ph: (270) 723-1220 | Inside Out, Llc 908 S Lincoln Blvd Hodgenville KY 42748-1702 Ph: (270) 723-1220 |
| NPI Number | 1699221523 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699221523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 105510 (Kentucky) | Primary |
Communicare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Phillips Ln, Hodgenville, KY 42748 Phone: 270-765-5145 Fax: 270-982-9209 | |
Midwest Psychologists, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Lincoln Farm Rd, Hodgenville, KY 42748 Phone: 270-304-6643 Fax: 206-888-6644 |