Organization
GREEN MEADOWS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NANTZ (SOLE MBR.)
(606) 280-5581
Entity
Organization
Contact information
Practice address
1640 MEADOW CREEK ROAD, WOODBINE, KY 40771
(606) 280-5581
Mailing address
PO BOX 98, WOODBINE, KY 40771-0098
(606) 280-5581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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