| Integration Therapy Ky | |
|
103 Allie Ct Bardstown KY 40004-9189 | |
| (502) 203-6951 | |
| Not Available |
| Full Name | Integration Therapy Ky |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 Allie Ct, Bardstown, Kentucky |
| Authorized Official Name and Position | Angela Hogan (CEO) |
| Authorized Official Contact | 5022036951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integration Therapy Ky 103 Allie Ct Bardstown KY 40004-9189 Ph: (502) 203-6951 | Integration Therapy Ky 103 Allie Ct Bardstown KY 40004-9189 Ph: (502) 203-6951 |
| NPI Number | 1194540591 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194540591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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