# WELLFRONT READINESS SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellFront Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407354053
- **Authorized official:** TYLER STICKLE M.ED., LPCC (DIR. FIELD OPS)
- **Authorized official phone:** (502) 418-3469

## Contact information

- **Practice address:** 207 PARKER DR UNIT 2B, LA GRANGE, KY 40031-1269
- **Practice address phone:** (502) 418-3469
- **Mailing address:** 1206 BURNT HILL RD, GOSHEN, KY 40026-9553
- **Mailing address phone:** (502) 418-3469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | KY | — |
| 101YM0800X | Mental Health Counselor | 1243 | KY | Yes |
| 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