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Organization
WELLFRONT READINESS SOLUTIONS
Active
Organization
WELLFRONT READINESS SOLUTIONS
Active
Other names
WellFront Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STICKLE M.ED., LPCC (DIR. FIELD OPS)
(502) 418-3469
Entity
Organization
Contact information
Practice address
207 PARKER DR UNIT 2B, LA GRANGE, KY 40031-1269
(502) 418-3469
Mailing address
1206 BURNT HILL RD, GOSHEN, KY 40026-9553
(502) 418-3469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YM0800X
Mental Health Counselor
Primary
1243
KY
101YP2500X
Professional Counselor
1243
KY
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
KY
253J00000X
Foster Care Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
KY
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QV0200X
VA Clinic/Center
—
NULL
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/30/2018
Last updated
06/16/2018
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