Organization
CHANGED LIVES SUBSTANCE ABUSE TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER T COX LPCC, LCADC (OWNER)
(859) 368-4105
Entity
Organization
Contact information
Practice address
149 DEWEESE ST, LEXINGTON, KY 40507-1925
(859) 368-4105
Mailing address
149 DEWEESE ST, LEXINGTON, KY 40507-1925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246158
LCADC
KY
01
—
266252
LPCC
KY
Enumeration date
11/25/2019
Last updated
11/02/2020
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