Organization
MILLENIUM COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVAN COOPER (OWNER)
(270) 799-3122
Entity
Organization
Contact information
Practice address
720 OLD MORGANTOWN RD, BOWLING GREEN, KY 42101-2716
(270) 799-3122
Mailing address
720 OLD MORGANTOWN RD, BOWLING GREEN, KY 42101-2716
(270) 799-3122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100282000
—
KY
Enumeration date
06/14/2022
Last updated
06/14/2022
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