Organization
SAFE HARBOR MENTAL HEALTH
Active
Other names
Safe Harbor Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L TILLERY LCSW (OWNER)
(859) 868-8186
Entity
Organization
Contact information
Practice address
33 JACKS LN, SOMERSET, KY 42501-6152
(606) 679-0014
(606) 679-0024
Mailing address
33 JACKS LN, SOMERSET, KY 42501-6152
(606) 679-0014
(606) 679-0024
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992721773
—
KY
Enumeration date
11/13/2018
Last updated
11/13/2018
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