Organization
YOUR GUIDE TO LIVENGOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LIVENGOOD LCSW (OWNER)
(859) 707-5910
Entity
Organization
Contact information
Practice address
1177 KALONE WAY, LEXINGTON, KY 40515-5432
(859) 707-5910
Mailing address
1177 KALONE WAY, LEXINGTON, KY 40515-5432
(859) 707-5910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100634920
—
KY
Enumeration date
07/29/2021
Last updated
07/29/2021
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