Organization
STIRRUP CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE SCOTT LPCC, NBCC, RPT (OWNER/THERAPIST)
(270) 585-2506
Entity
Organization
Contact information
Practice address
151 SCHOLL RD, RUSSELL SPRINGS, KY 42642-7708
(270) 585-2506
Mailing address
151 SCHOLL RD, RUSSELL SPRINGS, KY 42642-7708
(270) 585-2506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
164084
KY
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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