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Organization

WILLOW CREEK COUNSELING CENTER LLC

Active
Other names
Host Counseling Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA HOST LPCC (OWNER)
(859) 948-7223
Entity
Organization

Contact information

Practice address
1050 CHINOE RD SUITE 203, SUITE 203, LEXINGTON, KY 40502-4050
(859) 554-0740
Mailing address
1050 CHINOE RD STE 203, LEXINGTON, KY 40502-6571
(859) 554-0740

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100748000
KY
Enumeration date
12/10/2020
Last updated
01/06/2025
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