Organization
WHOLE LIFE BEHAVIORAL HEALTH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MATTIE SUBLETT LPCC, NCC (PRESIDENT, CEO)
(606) 371-2130
Entity
Organization
Contact information
Practice address
32 LAWMAR RD, AUXIER, KY 41602-9278
(606) 371-2130
Mailing address
32 LAWMAR RD, AUXIER, KY 41602-9278
(606) 371-2130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0899
KY
Other
Enumeration date
01/06/2008
Last updated
03/21/2011
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