# FULL LIFE COUNSELING SERVICE, PSC

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

## Provider details

- **NPI number:** 1295821205
- **Authorized official:** DR. MARY ELIZABETH FARMER PH.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (270) 782-0677

## Contact information

- **Practice address:** 1058 US 31W BYP, BOWLING GREEN, KY 42101-2418
- **Practice address phone:** (270) 782-0677
- **Practice address fax:** (270) 782-1079
- **Mailing address:** 1058 US 31W BYP, BOWLING GREEN, KY 42101-2418
- **Mailing address phone:** (270) 782-0677
- **Mailing address fax:** (270) 782-1079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0338 | KY | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020