Organization
CREATIVE FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY RYAN (OWNER AND CLINICAL DIRECTOR)
(502) 709-0410
Entity
Organization
Contact information
Practice address
8134 NEW LAGRANGE ROAD, SUITE 227, LOUISVILLE, KY 40222
(502) 709-0410
Mailing address
8134 NEW LAGRANGE ROAD, SUITE 227, LOUISVILLE, KY 40222-3237
(502) 709-0410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/07/2018
Last updated
01/13/2020
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