Organization
ASPIRE MENTORING FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS KING LPCC (OWNER/EXECUTIVE DIRECTOR)
(270) 303-4669
Entity
Organization
Contact information
Practice address
1501 NORMALVIEW DR, BOWLING GREEN, KY 42101-2834
(270) 303-4669
Mailing address
1501 NORMALVIEW DR, BOWLING GREEN, KY 42101-2834
(270) 303-4669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
02/20/2020
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