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Organization
TELEHEALTH COUNSELING OF KY, LLC
Active
Organization
TELEHEALTH COUNSELING OF KY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN PURCELL (CREDENTIALING)
(270) 779-9175
Entity
Organization
Contact information
Practice address
429 ADALYNN CIR, BOWLING GREEN, KY 42104-0001
(270) 779-9175
Mailing address
429 ADALYNN CIR, BOWLING GREEN, KY 42104-0001
(270) 779-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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