Organization
SPECIALIZED THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDWARD CARTER II RAS-I, CART (CO-FOUNDER)
(606) 420-4070
Entity
Organization
Contact information
Practice address
340 17TH ST, ASHLAND, KY 41101-7628
(606) 420-4070
(606) 420-4071
Mailing address
340 17TH ST, ASHLAND, KY 41101-7628
(606) 420-4070
(606) 420-4071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-C1112181215
—
101YM0800X
Mental Health Counselor
0864
KY
2084P0800X
Psychiatry Physician
—
—
261QX0100X
Occupational Medicine Clinic/Center
29912
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64106826
—
KY
Enumeration date
07/10/2012
Last updated
01/30/2013
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