# SOZO WELLNESS CENTER

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

## Provider details

- **NPI number:** 1700178456
- **Authorized official:** MISS HOLLY R TAYLOR LPCC (THERAPIST)
- **Authorized official phone:** (606) 545-9478

## Contact information

- **Practice address:** 4671 SOUTH CUMBERLAND GAP PARKWAY, BIMBLE, KY 40915
- **Practice address phone:** (606) 545-9478
- **Practice address fax:** (606) 546-3903
- **Mailing address:** PO BOX 423, BIMBLE, KY 40915-0423
- **Mailing address phone:** (606) 545-9478
- **Mailing address fax:** (606) 546-3903

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011