Organization
MINDLIFT LLC
Active
Other names
MindLift LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY DUANE WITTE (GM)
(859) 655-6026
Entity
Organization
Contact information
Practice address
519 LICKING PIKE, WILDER, KY 41071-2941
(859) 572-0400
(859) 442-3363
Mailing address
519 LICKING PIKE, WILDER, KY 41071-2941
(859) 572-0400
(859) 442-3363
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100926170
—
KY
Enumeration date
12/14/2021
Last updated
10/12/2023
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