Organization
R.E.A.C.H. PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE A SYLVESTER LCSW LCADC (MEMBER)
(502) 350-7368
Entity
Organization
Contact information
Practice address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(502) 350-7368
Mailing address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(502) 350-7368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/07/2014
Last updated
01/24/2024
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