| Your Guide To Livengood, Llc | |
|
1177 Kalone Way Lexington KY 40515-5432 | |
| (859) 707-5910 | |
| Not Available |
| Full Name | Your Guide To Livengood, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1177 Kalone Way, Lexington, Kentucky |
| Authorized Official Name and Position | Ellen Livengood (OWNER) |
| Authorized Official Contact | 8597075910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Guide To Livengood, Llc 1177 Kalone Way Lexington KY 40515-5432 Ph: (859) 707-5910 | Your Guide To Livengood, Llc 1177 Kalone Way Lexington KY 40515-5432 Ph: (859) 707-5910 |
| NPI Number | 1245903814 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245903814 | NPI | - | NPPES |
| 7100634920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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