| The Provision School And Family Counseling Center, Inc. | |
|
128 Dennis Dr Lexington KY 40503-2917 | |
| (859) 396-0644 | |
| Not Available |
| Full Name | The Provision School And Family Counseling Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 128 Dennis Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Joan Marie Miller (DIRECTOR/COUNSELOR) |
| Authorized Official Contact | 8593960644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Provision School And Family Counseling Center, Inc. 128 Dennis Dr Lexington KY 40503-2917 Ph: (859) 396-0644 | The Provision School And Family Counseling Center, Inc. 128 Dennis Dr Lexington KY 40503-2917 Ph: (859) 396-0644 |
| NPI Number | 1346612884 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346612884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9083 (Kentucky) | Primary |
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