Organization
APPALACHIAN COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVONNE F RICHARDSON LPCC (PRESIDENT)
(606) 253-3045
Entity
Organization
Contact information
Practice address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 432-5660
Mailing address
7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
(812) 962-7894
(812) 476-6162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1520
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2144199
CLIA
KY
05
—
7100315770
—
KY
05
—
7100320230
—
KY
05
—
7100443540
—
KY
Enumeration date
01/15/2015
Last updated
10/29/2021
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