Organization
SEASONS OF LIFE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER J BLANTON LMFT (OWNER)
(859) 421-5435
Entity
Organization
Contact information
Practice address
215 E 1ST ST, CAMPBELLSVILLE, KY 42718-2203
(270) 681-0180
Mailing address
215 E 1ST ST, CAMPBELLSVILLE, KY 42718-2203
(270) 681-0180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295307411
—
KY
Enumeration date
06/30/2023
Last updated
08/21/2023
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