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Organization
IN THE SCENE WELLNESS COLLECTIVE LLC
Active
Organization
IN THE SCENE WELLNESS COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ETHERTON MA, LPCC (OWNER/THERAPIST)
(859) 338-5762
Entity
Organization
Contact information
Practice address
3499 BLAZER PKWY STE 440, LEXINGTON, KY 40509-2803
(859) 338-5762
Mailing address
996 E NEW CIRCLE RD, UNIT 166, LEXINGTON, KY 40505-4127
(859) 338-5762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
111NX0100X
Occupational Health Chiropractor
—
NULL
111NX0100X
Occupational Health Chiropractor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/09/2024
Last updated
12/12/2024
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