Organization
ESSENTIAL HEALING IOP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVANIE SMITH M.ED., NCC, LPCC (PROGRAM DIRECTOR/THERAPIST)
(859) 687-0416
Entity
Organization
Contact information
Practice address
1795 ALYSHEBA WAY, 1001, LEXINGTON, KY 40509-2282
(859) 687-0416
(859) 353-4200
Mailing address
1795 ALYSHEBA WAY, 1001, LEXINGTON, KY 40509-2282
(859) 687-0416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YM0800X
Mental Health Counselor
—
KY
101YP2500X
Professional Counselor
—
KY
102L00000X
Psychoanalyst
—
KY
103K00000X
Behavior Analyst
—
KY
1041C0700X
Clinical Social Worker
—
KY
176P00000X
Funeral Director
—
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
KY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100294500
—
KY
01
—
800171
BHSO - BEHAVIORAL HEALTH SERVICES ORGANIZATION
KY
01
—
810448
AODE - ALCOHOL AND OTHER DRUG ENTITY
KY
Enumeration date
03/21/2014
Last updated
02/17/2017
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