Organization
FOOTHILLS ACADEMY, INC
Active
Parent organization
FOOTHILLS ACADEMY, INC
Other names
Foothills- Community Based Interventions, Community Based Interventions
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOTHILLS ACADEMY, INC
Authorized official
SAMANTHA SIMMONS LPCC (DIRECTOR)
(606) 343-0216
Entity
Organization
Contact information
Practice address
80 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9005
(606) 343-0216
Mailing address
80 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9005
(606) 343-0216
(606) 343-0224
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100317630
—
KY
Enumeration date
06/13/2014
Last updated
10/22/2019
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