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Organization
KILGORE SAMARITAN COUNSELING CENTER
Active
Organization
KILGORE SAMARITAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY G WINSTEAD M.DIV, MA, LMFT (CLINICAL DIRECTOR)
(502) 327-4622
Entity
Organization
Contact information
Practice address
918 ORMSBY LN, LOUISVILLE, KY 40242-4536
(502) 327-4622
(502) 327-4675
Mailing address
918 ORMSBY LN., LOUISVILLE, KY 40242-4536
(502) 327-4622
(502) 327-4675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
106665
KY
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/21/2022
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