| Stirrup Change, Llc | |
|
151 Scholl Rd Russell Springs KY 42642-7708 | |
| (270) 585-2506 | |
| Not Available |
| Full Name | Stirrup Change, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 151 Scholl Rd, Russell Springs, Kentucky |
| Authorized Official Name and Position | Charlene Scott (OWNER/THERAPIST) |
| Authorized Official Contact | 2705852506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stirrup Change, Llc 151 Scholl Rd Russell Springs KY 42642-7708 Ph: (270) 585-2506 | Stirrup Change, Llc 151 Scholl Rd Russell Springs KY 42642-7708 Ph: (270) 585-2506 |
| NPI Number | 1649720467 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649720467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 164084 (Kentucky) | Primary |
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