Organization
LIFE SPRINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN E PHELPS MS (CO-OWNER)
(606) 676-2513
Entity
Organization
Contact information
Practice address
138 KENT HAVEN DR, SOMERSET, KY 42503-6281
(606) 676-2513
Mailing address
138 KENT HAVEN DR, SOMERSET, KY 42503-6281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
KY
103K00000X
Behavior Analyst
—
KY
103T00000X
Psychologist
Primary
KY-0085
KY
1041C0700X
Clinical Social Worker
—
KY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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