Organization
ADDICTION & RESTORATION THERAPIES IOP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVANIE SMITH M.ED., LPC (PROGRAM DIRECTOR/THERAPIST)
(859) 492-8509
Entity
Organization
Contact information
Practice address
2704 OLD ROSEBUD RD, LEXINGTON, KY 40509-8627
(859) 492-8509
(859) 317-9034
Mailing address
3444 OAKBROOK DR, LEXINGTON, KY 40515-1396
(859) 492-8509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YM0800X
Mental Health Counselor
—
KY
101YP1600X
Pastoral Counselor
—
KY
101YP2500X
Professional Counselor
—
KY
103TP0016X
Prescribing (Medical) Psychologist
—
KY
1041C0700X
Clinical Social Worker
—
KY
251B00000X
Case Management Agency
—
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
253Z00000X
In Home Supportive Care Agency
—
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
KY
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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