# DIVINE SOUL THERAPY LLC

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

## Provider details

- **NPI number:** 1659269504
- **Authorized official:** CASEY SUE LOGAN M.ED., LPCC (OWNER / CLINICAL COUNSELOR)
- **Authorized official phone:** (859) 517-4633

## Contact information

- **Practice address:** 1099 INDIAN MOUND DR STE A, MOUNT STERLING, KY 40353-1652
- **Practice address phone:** (859) 517-4633
- **Practice address fax:** (859) 203-0843
- **Mailing address:** 1037 HINKSTON PIKE, MOUNT STERLING, KY 40353-9301
- **Mailing address phone:** (859) 517-4633
- **Mailing address fax:** (859) 203-0843

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 09/12/2025