Organization
LIFETREE MARRIAGE AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY COLON COATES LMFT (OWNER)
(859) 559-8002
Entity
Organization
Contact information
Practice address
121 WANNAMAKER BLVD, RICHMOND, KY 40475-8037
(859) 559-8002
Mailing address
121 WANNAMAKER BLVD, RICHMOND, KY 40475-8037
(859) 559-8002
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/30/2024
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