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Organization

COMMUNICARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WISE (CEO)
(270) 765-2605
Entity
Organization

Contact information

Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
80005
KY
101YM0800X
Mental Health Counselor
Primary
80005
KY
101YP2500X
Professional Counselor
80005
KY
103TC0700X
Clinical Psychologist
800005
KY
103TC1900X
Counseling Psychologist
800005
KY
104100000X
Social Worker
80005
KY
1041C0700X
Clinical Social Worker
80005
KY
106H00000X
Marriage & Family Therapist
800005
KY
2084P0800X
Psychiatry Physician
800005
KY

Other

Enumeration date
05/19/2006
Last updated
07/25/2022
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