Organization
THRIVEWORKS KENTUCKY - CLINICAL
Active
Other names
Thriveworks
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MILLER (CREDENTIALING AGENT)
(540) 217-6461
Entity
Organization
Contact information
Practice address
310 E MAIN AVE STE 202, BOWLING GREEN, KY 42101-2143
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
02/11/2025
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