| Woodys Place | |
|
5990 Tyrone Pike Versailles KY 40383-9091 | |
| (859) 737-0904 | |
| Not Available |
| Full Name | Woodys Place |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5990 Tyrone Pike, Versailles, Kentucky |
| Authorized Official Name and Position | David Carter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8597370904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodys Place 5990 Tyrone Pike Versailles KY 40383-9091 Ph: () - | Woodys Place 5990 Tyrone Pike Versailles KY 40383-9091 Ph: (859) 737-0904 |
| NPI Number | 1912778069 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912778069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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