# KILGORE SAMARITAN COUNSELING CENTER

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

## Provider details

- **NPI number:** 1831294586
- **Authorized official:** MR. BARRY G WINSTEAD M.DIV, MA, LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (502) 327-4622

## Contact information

- **Practice address:** 918 ORMSBY LN, LOUISVILLE, KY 40242-4536
- **Practice address phone:** (502) 327-4622
- **Practice address fax:** (502) 327-4675
- **Mailing address:** 918 ORMSBY LN., LOUISVILLE, KY 40242-4536
- **Mailing address phone:** (502) 327-4622
- **Mailing address fax:** (502) 327-4675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | 106665 | KY | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 07/21/2022