Individual
TIVOLI HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
176 PASADENA DR STE 2, LEXINGTON, KY 40503-2900
(859) 421-7078
Mailing address
4325 COBBLESTONE KNOLL DR, LEXINGTON, KY 40515-4673
(859) 421-7078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
247191
KY
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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