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Organization

BRIDGE COUNSELING & CONSULTING SERVICES OF KENTUCKY LLC

Active
Other names
Dan Beasley, LCSW, BRIDGE Counseling & Consulting Services of KY
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL M BEASLEY LCSW (OWNER)
(859) 398-2830
Entity
Organization

Contact information

Practice address
718 HAMBRICK AVE APT 1, LEXINGTON, KY 40508-2339
(859) 398-2830
(859) 545-4910
Mailing address
718 HAMBRICK AVE APT 1, LEXINGTON, KY 40508-2339
(859) 398-2830
(859) 545-4910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101122500
KY
Enumeration date
09/30/2025
Last updated
05/07/2026
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