# OPEN MIND COUNSELING, LLC

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

## Provider details

- **NPI number:** 1669024188
- **Authorized official:** STEPHANIE M DECKER LCSW (MENTAL HEALTH COUNSELOR/ OWNER)
- **Authorized official phone:** (812) 719-4633

## Contact information

- **Practice address:** 100 W 3RD ST STE 304, OWENSBORO, KY 42303-4129
- **Practice address phone:** (812) 719-4633
- **Mailing address:** 100 W 3RD ST STE 304, OWENSBORO, KY 42303-4129
- **Mailing address phone:** (812) 719-4633
- **Mailing address fax:** (270) 698-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2019
- **Last updated:** 10/07/2020
