# WELLNESS PLACE LLC

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

## Provider details

- **NPI number:** 1316208069
- **Authorized official:** DR. DANIEL KRISTIN JONES PSY.D. (MEMBER)
- **Authorized official phone:** (270) 601-4235

## Contact information

- **Practice address:** 68 CEDAR ST., KUTTAWA, KY 42055
- **Practice address phone:** (270) 601-1575
- **Practice address fax:** (270) 350-4673
- **Mailing address:** PO BOX 250, KUTTAWA, KY 42055-0250
- **Mailing address phone:** (270) 601-4235
- **Mailing address fax:** (270) 365-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1313 | KY | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 08/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100299330 | — | KY |