Organization
WHITLEY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WHITLEY LCSW (OWNER/CLINICAL SOCIAL WORKER)
(859) 533-5434
Entity
Organization
Contact information
Practice address
218 BRECKINRIDGE DR, VERSAILLES, KY 40383-1239
(502) 465-5005
Mailing address
PO BOX 176, VERSAILLES, KY 40383-0176
(502) 465-5005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001287562
ANTHEM
KY
05
—
7100605830
—
KY
Enumeration date
11/03/2021
Last updated
11/03/2021
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