Organization
BREAKING FREE MINISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANIE E LEMASTER (EXECUTIVE DIRECTOR)
(859) 227-1221
Entity
Organization
Contact information
Practice address
1155 LEXINGTON RD, NICHOLASVILLE, KY 40356-9436
(859) 227-1221
Mailing address
PO BOX 54391, LEXINGTON, KY 40555-4391
(859) 227-1221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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