Organization
AMAZING LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DACID LEE LMFT (THERAPIST / OWNER)
(270) 904-4945
Entity
Organization
Contact information
Practice address
351 PASCOE BLVD STE 102, BOWLING GREEN, KY 42104-6302
(270) 904-4945
(270) 499-7510
Mailing address
384 RED BIRD TRL, BOWLING GREEN, KY 42101-0727
(270) 791-5933
(270) 499-7510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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