Organization
APPALACHIAN WELLNESS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI LYN ROSE HAAS M.A., L.P.P. (OWNER)
(606) 668-7393
Entity
Organization
Contact information
Practice address
592 KY 15 SOUTH, SUITE 5, CAMPTON, KY 41301
(606) 668-7393
(866) 718-4137
Mailing address
PO BOX 1136, 592 KY 15 SOUTH, SUITE 5, CAMPTON, KY 41301-1136
(606) 668-7393
(866) 718-4137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYPPR00216468
KY
273R00000X
Psychiatric Hospital Unit
41931
KY
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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