| Miles Of Hope Counseling Center, Llc | |
|
107 N 2nd St Stanford KY 40484-1321 | |
| (606) 303-3560 | |
| (606) 365-2263 |
| Full Name | Miles Of Hope Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 N 2nd St, Stanford, Kentucky |
| Authorized Official Name and Position | Carla Loveless-tackett (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6063033560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Of Hope Counseling Center, Llc 107 N 2nd St Stanford KY 40484-1321 Ph: (606) 303-3560 | Miles Of Hope Counseling Center, Llc 107 N 2nd St Stanford KY 40484-1321 Ph: (606) 303-3560 |
| NPI Number | 1134513252 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134513252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4004 (Kentucky) | Primary |
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