# MENTAL HEALTH & WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1548779556
- **Authorized official:** CAROL R LOOSE (OWNER/CLINICAL THERAPIST)
- **Authorized official phone:** (859) 241-3081

## Contact information

- **Practice address:** 125 ORCHARD DR, NICHOLASVILLE, KY 40356-2690
- **Practice address phone:** (859) 241-3081
- **Practice address fax:** (859) 241-1045
- **Mailing address:** 125 ORCHARD DR, NICHOLASVILLE, KY 40356-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 11/08/2018