| Warrior Goddess Tribe, Llc | |
|
600 Saint Christopher Dr Ashland KY 41101-7026 | |
| (606) 744-4018 | |
| Not Available |
| Full Name | Warrior Goddess Tribe, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 600 Saint Christopher Dr, Ashland, Kentucky |
| Authorized Official Name and Position | Emily Aust (FOUNDER) |
| Authorized Official Contact | 6067444018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warrior Goddess Tribe, Llc 801 Highland Ave Flatwoods KY 41139-1125 Ph: (606) 744-4018 | Warrior Goddess Tribe, Llc 600 Saint Christopher Dr Ashland KY 41101-7026 Ph: (606) 744-4018 |
| NPI Number | 1700631199 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700631199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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