Individual
BENJAMIN LARKIN MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 WIND HAVEN DR STE 202, NICHOLASVILLE, KY 40356-8036
(859) 230-8121
Mailing address
549 MADISON POINT DR, LEXINGTON, KY 40515-4824
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
299583
KY
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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