Organization
MIND OVER MATTER THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BETH DANIELS LPCC-S, NCC, LCADC (CLINICAL DIRECTOR)
(270) 634-2319
Entity
Organization
Contact information
Practice address
301 N MAIN ST, TOMPKINSVILLE, KY 42167-1510
(270) 634-2319
Mailing address
339 J CARTER RD, TOMPKINSVILLE, KY 42167-7899
(270) 634-2319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/24/2022
Last updated
09/13/2022
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