| Specialized Therapy Group, Llc | |
|
340 17th St Ashland KY 41101-7628 | |
| (606) 420-4070 | |
| (606) 420-4071 |
| Full Name | Specialized Therapy Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 340 17th St, Ashland, Kentucky |
| Authorized Official Name and Position | William Edward Carter (CO-FOUNDER) |
| Authorized Official Contact | 6064204070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Therapy Group, Llc 340 17th St Ashland KY 41101-7628 Ph: (606) 420-4070 | Specialized Therapy Group, Llc 340 17th St Ashland KY 41101-7628 Ph: (606) 420-4070 |
| NPI Number | 1336404912 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336404912 | NPI | - | NPPES |
| 64106826 | Medicaid | KY |
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