# ASPIRE BEHAVIORAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1669824744
- **Authorized official:** WENDY RUSSELL LPCC (THERAPIST)
- **Authorized official phone:** (270) 228-2414

## Contact information

- **Practice address:** 343 S MAIN ST, BEAVER DAM, KY 42320
- **Practice address phone:** (270) 228-2414
- **Mailing address:** PO BOX 292, BEAVER DAM, KY 42320-0292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 163595 | KY | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 08/08/2018