Organization
GATEWAY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM R BECK (BILLING/CONTRACTING MANAGER)
(270) 777-9283
Entity
Organization
Contact information
Practice address
181 W PROFESSIONAL PARK CT, SUITE 1, BOWLING GREEN, KY 42104-3250
(270) 843-5300
(270) 843-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100292870
—
KY
Enumeration date
05/27/2014
Last updated
11/18/2015
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