Individual
LILY REVENA SUMNER-BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1043 CENTER DR, RICHMOND, KY 40475-3838
(859) 314-1281
(859) 353-8032
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100798520
—
KY
05
—
PENDING
—
KY
Enumeration date
02/18/2022
Last updated
12/29/2023
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