| Mind Body & Soul Life Coach, Case Management & Behavioral Health Servi | |
|
110 Chase Way Ste 1 Elizabethtown KY 42701-7827 | |
| (502) 293-8926 | |
| (207) 708-5912 |
| Full Name | Mind Body & Soul Life Coach, Case Management & Behavioral Health Servi |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Chase Way Ste 1, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Darlena Kay Smith (OWNER) |
| Authorized Official Contact | 5022499617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body & Soul Life Coach, Case Management & Behavioral Health Servi 110 Chase Way Ste 1 Elizabethtown KY 42701-7827 Ph: (502) 293-8926 | Mind Body & Soul Life Coach, Case Management & Behavioral Health Servi 110 Chase Way Ste 1 Elizabethtown KY 42701-7827 Ph: (502) 293-8926 |
| NPI Number | 1508676263 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508676263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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