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Organization
SBX TX OTB, PLLC
Active
Organization
SBX TX OTB, PLLC
Active
Other names
Therapy Outside The Box
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HASTINGS DURHAM (CEO)
(859) 209-2305
Entity
Organization
Contact information
Practice address
106 BELINDA BLVD, DANVILLE, KY 40422
(859) 209-2320
(859) 209-4278
Mailing address
PO BOX 1050, DANVILLE, KY 40423
(859) 209-2295
(859) 236-5152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100151790
—
KY
Enumeration date
05/13/2010
Last updated
02/17/2015
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