Organization
WELLWOVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCRAY (CEO)
(502) 430-1404
Entity
Organization
Contact information
Practice address
190 TRISTAN LN, ELIZABETHTOWN, KY 42701-5738
(502) 430-1404
Mailing address
190 TRISTAN LN, ELIZABETHTOWN, KY 42701-5738
(502) 430-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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