Organization
SAKURA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LYNN SPEELMAN M.ED, LPCC (CO-OWNER/CLINICAL COUNSELOR)
(859) 354-9360
Entity
Organization
Contact information
Practice address
125 QUINN DR, NICHOLASVILLE, KY 40356-1370
(859) 241-3085
(877) 712-3835
Mailing address
125 QUINN DR, NICHOLASVILLE, KY 40356-1370
(859) 241-3085
(877) 712-3835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100677110
—
KY
Enumeration date
06/11/2020
Last updated
10/28/2020
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