| Mediation & Counseling Center Of Western Kentucky, Inc. | |
|
2400 Friendship Dr Ste B 2400 Friendship Drive, Suite B Owensboro KY 42303-3011 | |
| (270) 852-6516 | |
| (270) 683-9771 |
| Full Name | Mediation & Counseling Center Of Western Kentucky, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 Friendship Dr Ste B, Owensboro, Kentucky |
| Authorized Official Name and Position | Gregory Lee Baize (PRESIDENT/CEO) |
| Authorized Official Contact | 2708526516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediation & Counseling Center Of Western Kentucky, Inc. 2400 Friendship Dr Ste B Ronald Logsdon Community Center At Presidents Place Owensboro KY 42303-3011 Ph: (270) 852-6516 | Mediation & Counseling Center Of Western Kentucky, Inc. 2400 Friendship Dr Ste B 2400 Friendship Drive, Suite B Owensboro KY 42303-3011 Ph: (270) 852-6516 |
| NPI Number | 1588085799 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588085799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kentucky) | Primary |
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Behavioral Healthcare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Walnut St, Owensboro, KY 42301 Phone: 270-689-6500 Fax: 270-689-6677 | |
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