Organization
JESSES HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY SPICE LCSW (CLINICAL DIRECTOR)
(502) 209-8025
Entity
Organization
Contact information
Practice address
4124 KATHERINE PL, LEXINGTON, KY 40515-4000
(502) 209-8025
Mailing address
2081 HARRODSBURG RD # 1117, LEXINGTON, KY 40504-3503
(502) 209-8025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
03/07/2023
Last updated
03/22/2023
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