Organization
A.L.I. COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GAIL HALL (CREDENTIALING AGENT)
(502) 774-0671
Entity
Organization
Contact information
Practice address
653 WINDBROOK DR, ELIZABETHTOWN, KY 42701-6827
(502) 500-4452
Mailing address
653 WINDBROOK DR, ELIZABETHTOWN, KY 42701-6827
(502) 500-4452
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100794370
—
KY
Enumeration date
06/08/2022
Last updated
06/08/2022
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