Organization
COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE ANN FARRIS LPCC (CEO)
(859) 520-3041
Entity
Organization
Contact information
Practice address
29 N MAYSVILLE ST, MOUNT STERLING, KY 40353-1315
(859) 520-3041
(859) 432-8935
Mailing address
29 N MAYSVILLE ST, MOUNT STERLING, KY 40353-1315
(859) 520-3041
(859) 432-8935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100484190
—
KY
Enumeration date
04/06/2020
Last updated
02/14/2022
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