Organization
EDEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI N JORDAN LCSW (OWNER)
(606) 541-1067
Entity
Organization
Contact information
Practice address
22 EURY LN, SOMERSET, KY 42501-4115
(859) 428-4374
Mailing address
162 DELUCA DR, SCIENCE HILL, KY 42553-9053
(606) 541-1067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
01/07/2025
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