Organization
SOULTHRIVE THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MOTLEY CROUCH (OWNER)
(606) 336-2560
Entity
Organization
Contact information
Practice address
3643 MUDLICK RD, SALT LICK, KY 40371-8631
(606) 336-2560
Mailing address
3643 MUDLICK RD, SALT LICK, KY 40371-8631
(606) 336-2560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/24/2021
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