# IN THE SCENE WELLNESS COLLECTIVE LLC

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

## Provider details

- **NPI number:** 1609647650
- **Authorized official:** ELIZABETH ETHERTON MA, LPCC (OWNER/THERAPIST)
- **Authorized official phone:** (859) 338-5762

## Contact information

- **Practice address:** 3499 BLAZER PKWY STE 440, LEXINGTON, KY 40509-2803
- **Practice address phone:** (859) 338-5762
- **Mailing address:** 996 E NEW CIRCLE RD, UNIT 166, LEXINGTON, KY 40505-4127
- **Mailing address phone:** (859) 338-5762

## Taxonomy

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