# R.E.A.C.H. PROGRAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265858864
- **Authorized official:** STACIE A SYLVESTER LCSW LCADC (MEMBER)
- **Authorized official phone:** (502) 350-7368

## Contact information

- **Practice address:** 120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
- **Practice address phone:** (502) 350-7368
- **Mailing address:** 120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
- **Mailing address phone:** (502) 350-7368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 01/24/2024