Organization
ELIZABETHTOWN PARTNERS IN COUNSELING INC
Active
Organization
ELIZABETHTOWN PARTNERS IN COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SPILMAN WILLIAMSON (OFFICE MANAGER)
(270) 360-1222
Entity
Organization
Contact information
Practice address
204 N MAIN ST, ELIZABETHTOWN, KY 42701-1417
(270) 360-1222
(270) 360-0333
Mailing address
204 N MAIN ST, ELIZABETHTOWN, KY 42701-1417
(270) 360-1222
(270) 360-0333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
130306
KY
103TC1900X
Counseling Psychologist
Primary
100449
KY
1041C0700X
Clinical Social Worker
6303
KY
106H00000X
Marriage & Family Therapist
0815
KY
106H00000X
Marriage & Family Therapist
0887
KY
106H00000X
Marriage & Family Therapist
105306
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3002005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100309080
—
KY
Enumeration date
01/31/2017
Last updated
01/31/2017
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