| Mended Counseling & Trauma Services | |
|
824 Euclid Ave Ste A102 Lexington KY 40502-1785 | |
| (859) 338-0006 | |
| Not Available |
| Full Name | Mended Counseling & Trauma Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 824 Euclid Ave Ste A102, Lexington, Kentucky |
| Authorized Official Name and Position | Jessie Dayton (LICENSED CLINICAL COUNSELOR) |
| Authorized Official Contact | 8594290860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Counseling & Trauma Services 3977 Rapid Run Dr. Lexington KY 40515 Ph: () - | Mended Counseling & Trauma Services 824 Euclid Ave Ste A102 Lexington KY 40502-1785 Ph: (859) 338-0006 |
| NPI Number | 1013508191 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013508191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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