# ASPIRE MENTORING FOUNDATION LLC

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

## Provider details

- **NPI number:** 1467099135
- **Authorized official:** DEMETRIUS KING LPCC (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (270) 303-4669

## Contact information

- **Practice address:** 1501 NORMALVIEW DR, BOWLING GREEN, KY 42101-2834
- **Practice address phone:** (270) 303-4669
- **Mailing address:** 1501 NORMALVIEW DR, BOWLING GREEN, KY 42101-2834
- **Mailing address phone:** (270) 303-4669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 02/20/2020