Organization
ALIVE NOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOLLIS-COLE (OWNER)
(859) 270-6119
Entity
Organization
Contact information
Practice address
1603 VERSAILLES RD, LEXINGTON, KY 40504-2401
(859) 270-6119
Mailing address
1603 VERSAILLES RD, LEXINGTON, KY 40504-2401
(859) 270-6119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/30/2022
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