# 31:2 COUNSELING GROUP, LLC

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

## Provider details

- **NPI number:** 1992360085
- **Authorized official:** CHARLES LEWIS LCSW (THERAPIST/OWNER)
- **Authorized official phone:** (270) 807-0533

## Contact information

- **Practice address:** 111 N WOODLAND DR STE B, RADCLIFF, KY 40160-2678
- **Practice address phone:** (270) 348-4840
- **Mailing address:** 127 MEDICAL CENTER DR, RADCLIFF, KY 40160-8959
- **Mailing address phone:** (270) 348-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2019
- **Last updated:** 05/28/2021