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Organization
MIND GROWING COUNSELING
Active
Organization
MIND GROWING COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY LINVILLE LCSW (OWNER)
(859) 287-4125
Entity
Organization
Contact information
Practice address
511 BIG BEAR LN, LEXINGTON, KY 40517-2053
(859) 287-4125
Mailing address
PO BOX 55545, LEXINGTON, KY 40555-5545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
08/25/2021
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