Organization
HEART AND SOUL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GRAHAM LCSW (CLINICAL DIRECTOR)
(270) 206-2601
Entity
Organization
Contact information
Practice address
121 PUBLIC SQUARE, GREENSBURG, KY 42743-4274
(575) 644-8237
(270) 572-4066
Mailing address
121 S PUBLIC SQ, GREENSBURG, KY 42743-1532
(270) 206-2601
(270) 572-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832763854
FEDERAL GOVERNMNT
KY
05
—
832763854
—
KY
Enumeration date
05/27/2021
Last updated
01/14/2025
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