Organization
EMERALD THERAPY CENTER, LLC
Active
Parent organization
EMERALD THERAPY CENTER LLC
Other names
Emerald Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERALD THERAPY CENTER LLC
Authorized official
SHELLY BETH BAER LCSW (OWNER)
(270) 205-8895
Entity
Organization
Contact information
Practice address
1640 MCCRACKEN BLVD STE 200, PADUCAH, KY 42001-9562
(270) 534-5128
(270) 477-0007
Mailing address
1640 MCCRACKEN BLVD STE 200, PADUCAH, KY 42001-9562
(270) 534-5128
(270) 477-0007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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