Organization
MILES OF HOPE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LOVELESS-TACKETT MSW, LCSW, ACSW (OWNER/CLINICAL SOCIAL WORKER)
(606) 303-3560
Entity
Organization
Contact information
Practice address
107 N 2ND ST, STANFORD, KY 40484-1321
(606) 303-3560
(606) 365-2263
Mailing address
107 N 2ND ST, STANFORD, KY 40484-1321
(606) 303-3560
(606) 365-2263
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4004
KY
Other
Enumeration date
03/26/2015
Last updated
03/23/2017
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