Organization
LIMITLESS MINDS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET NICHOLAS PARKS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(270) 288-5036
Entity
Organization
Contact information
Practice address
1118 S MAIN ST STE 2, MORGANTOWN, KY 42261-9409
(270) 288-5036
(270) 228-5082
Mailing address
PO BOX 1655, MORGANTOWN, KY 42261-1655
(270) 288-5036
(270) 288-5082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689145971
—
KY
Enumeration date
07/30/2020
Last updated
10/11/2024
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