Organization
SBX TX OTB, PLLC
Active
Other names
Therapy Outside The Box
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HASTINGS DURHAM (CEO)
(859) 209-2305
Entity
Organization
Contact information
Practice address
106 BELINDA BLVD, DANVILLE, KY 40422
(859) 209-2320
(859) 209-4278
Mailing address
PO BOX 1050, DANVILLE, KY 40423
(859) 209-2295
(859) 236-5152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100151790
—
KY
Enumeration date
05/13/2010
Last updated
02/17/2015
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