Organization
SOUTHERN KENTUCKY THERAPEUTIC INTERVENTIONS AND BEHAVIOR HEALTH SERVIC
Active
Other names
Southern Ky Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MCINTOSH LCSW (OWNER)
(606) 392-3958
Entity
Organization
Contact information
Practice address
319 JOHNNY DR, SCIENCE HILL, KY 42553-9146
(606) 392-3958
Mailing address
319 JOHNNY DR, SCIENCE HILL, KY 42553-9146
(606) 392-3958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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