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Organization

BLACK COTTON THERAPY SERVICES OF KENTUCKY LLC

Active
Parent organization
BLACK COTTON THERAPY SERVICES LLC
Other names
Black Cotton Therapy Services of Kentucky LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLACK COTTON THERAPY SERVICES LLC
Authorized official
TANISHA COLEMAN (OWNER)
(404) 987-8369
Entity
Organization

Contact information

Practice address
212 N 2ND ST STE 100, RICHMOND, KY 40475-1408
(509) 768-2249
Mailing address
741 PIEDMONT AVE NE STE 200, ATLANTA, GA 30308-1420
(404) 987-8369

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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