Organization
CASE MANAGEMENT AND COUNSELING SERVICES OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVANIE SMITH M.ED., LPCC, LCADC (PROGRAM DIRECTOR)
(859) 492-8509
Entity
Organization
Contact information
Practice address
1795 ALYSHEBA WAY, SUITE 1001, LEXINGTON, KY 40509-2280
(859) 687-0416
(859) 353-4200
Mailing address
1795 ALYSHEBA WAY, SUITE 1001, LEXINGTON, KY 40509-2280
(859) 687-0416
(859) 353-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171070
KY
101YP2500X
Professional Counselor
164125
KY
171M00000X
Case Manager/Care Coordinator
—
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
46380
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
04/06/2017
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