# GLENCAIRN MARRIAGE & FAMILY THERAPY CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851660625
- **Authorized official:** DR. SUSAN GREY SMITH PHD (CEO)
- **Authorized official phone:** (859) 263-4687

## Contact information

- **Practice address:** 501 DARBY CREEK RD, SUITE 67, LEXINGTON, KY 40509-1604
- **Practice address phone:** (859) 263-4687
- **Practice address fax:** (859) 264-1760
- **Mailing address:** 501 DARBY CREEK RD, SUITE 67, LEXINGTON, KY 40509-1604
- **Mailing address phone:** (859) 263-4687
- **Mailing address fax:** (859) 264-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 12/22/2011