Organization
SERENITEE AT ITS BEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RAGLIN LCADC (OWNER/PROVIDER)
(859) 753-7752
Entity
Organization
Contact information
Practice address
545 DAVISTOWN RD, MIDWAY, KY 40347-9504
(859) 753-7752
Mailing address
PO BOX 4428, MIDWAY, KY 40347-4428
(859) 753-7752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100537150
—
KY
Enumeration date
01/25/2021
Last updated
01/25/2021
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