Organization
SHATTERED 2 RESTORED
Active
Other names
Shattered 2 Restored
Organization subpart
No
Provider details
NPI number
Authorized official
CHENEL M. STEWART LPCC (OWNER/CLINICIAN)
(270) 875-2548
Entity
Organization
Contact information
Practice address
7659 MALL RD # 1016, FLORENCE, KY 41042-1403
(859) 379-8152
Mailing address
7659 MALL RD # 1016, FLORENCE, KY 41042-1403
(859) 379-8152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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