Organization
JASON MUZZILLO, PLLC
Active
Other names
Resolutions Therapy Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MUZZILLO LCSW (OWNER/EMPLOYEE)
(859) 305-1430
Entity
Organization
Contact information
Practice address
168 E REYNOLDS RD STE 150, LEXINGTON, KY 40517-1360
(859) 305-1430
Mailing address
168 E REYNOLDS RD STE 150, LEXINGTON, KY 40517-1360
(859) 322-9222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100515530
—
KY
05
—
7100614860
—
KY
Enumeration date
10/09/2018
Last updated
10/15/2021
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