| Therapeutic Collabortive | |
|
525 Licking Pike Wilder KY 41071 | |
| (859) 572-0400 | |
| (859) 442-3363 |
| Full Name | Therapeutic Collabortive |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 525 Licking Pike, Wilder, Kentucky |
| Authorized Official Name and Position | Ruth Margaret Lukey (LCSW) |
| Authorized Official Contact | 8595720400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Collabortive 525 Licking Pike Alexandria KY 41071 Ph: (859) 572-0400 | Therapeutic Collabortive 525 Licking Pike Wilder KY 41071 Ph: (859) 572-0400 |
| NPI Number | 1952445017 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952445017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1309 (Kentucky) | Primary |
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