| Wisdom Of The Heart, Inc. | |
|
535 W Second St Ste 207 Suite 207 Lexington KY 40508-1268 | |
| (859) 338-8720 | |
| (859) 255-5385 |
| Full Name | Wisdom Of The Heart, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 535 W Second St Ste 207, Lexington, Kentucky |
| Authorized Official Name and Position | Steven B Smith (PRESIDENT) |
| Authorized Official Contact | 8593388720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Of The Heart, Inc. 535 W Second St Ste 207 Suite 207 Lexington KY 40508-1268 Ph: (859) 338-8720 | Wisdom Of The Heart, Inc. 535 W Second St Ste 207 Suite 207 Lexington KY 40508-1268 Ph: (859) 338-8720 |
| NPI Number | 1023358389 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 9638316094 |
|---|---|
| Medicare Enrollment ID | O20130503000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023358389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0059 (Kentucky) | Primary |
| Provider Name | Steven B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750440749 PECOS PAC ID: 4587804240 Enrollment ID: I20130701000745 |
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