Organization
CONNECTIVE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COFFEY (OWNER)
(859) 230-5957
Entity
Organization
Contact information
Practice address
101 N MAIN ST, STANTON, KY 40380-2174
(859) 230-5957
Mailing address
319 LAKE NEOMIA RD, CLAY CITY, KY 40312-9701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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