Organization
THE WELL THERAPEUTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA RENEE HOLDERMAN LPCC-S (OWNER)
(859) 516-1691
Entity
Organization
Contact information
Practice address
5245 LEBANON RD, DANVILLE, KY 40422-9636
(859) 516-1691
Mailing address
5245 LEBANON RD, DANVILLE, KY 40422-9636
(859) 516-1691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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