# THERAPEUTIC COLLABORTIVE

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

## Provider details

- **NPI number:** 1952445017
- **Authorized official:** MRS. RUTH MARGARET LUKEY LCSW (LCSW)
- **Authorized official phone:** (859) 572-0400

## Contact information

- **Practice address:** 525 LICKING PIKE, WILDER, KY 41071
- **Practice address phone:** (859) 572-0400
- **Practice address fax:** (859) 442-3363
- **Mailing address:** 525 LICKING PIKE, ALEXANDRIA, KY 41071
- **Mailing address phone:** (859) 572-0400
- **Mailing address fax:** (859) 442-3363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1309 | KY | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020