Selah Wellness Llc | |
448 Breck Ave Richmond KY 40475-1302 | |
(859) 221-7975 | |
Not Available |
Full Name | Selah Wellness Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 448 Breck Ave, Richmond, Kentucky |
Authorized Official Name and Position | Cristin Lynne Keeling (DIRECTOR) |
Authorized Official Contact | 8592217975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Selah Wellness Llc 448 Breck Ave Richmond KY 40475-1302 Ph: (859) 221-7975 | Selah Wellness Llc 448 Breck Ave Richmond KY 40475-1302 Ph: (859) 221-7975 |
NPI Number | 1780041632 |
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Provider Enumeration Date | 01/23/2016 |
Last Update Date | 01/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780041632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPCCCA00224162 (Kentucky) | Primary |
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