| Jaylee Awakened Ministries, Llc | |
|
169 E Reynolds Rd Ste 101 Lexington KY 40517-1270 | |
| (859) 279-2949 | |
| (502) 323-0749 |
| Full Name | Jaylee Awakened Ministries, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 169 E Reynolds Rd Ste 101, Lexington, Kentucky |
| Authorized Official Name and Position | Jaylee Cunningham (OWNER AND THERAPIST) |
| Authorized Official Contact | 8592792949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaylee Awakened Ministries, Llc 169 E Reynolds Rd Ste 100a Lexington KY 40517-1272 Ph: (859) 279-2949 | Jaylee Awakened Ministries, Llc 169 E Reynolds Rd Ste 101 Lexington KY 40517-1270 Ph: (859) 279-2949 |
| NPI Number | 1811656226 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811656226 | NPI | - | NPPES |
| 7100786330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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