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Organization

MENDED COUNSELING & TRAUMA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSIE DAYTON (OWNER)
(859) 429-0860
Entity
Organization

Contact information

Practice address
824 EUCLID AVE STE A102, LEXINGTON, KY 40502-1785
(859) 338-0006
Mailing address
824 EUCLID AVE STE A102, LEXINGTON, KY 40502-1785

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962229856
NPI
05
7100722810
KY
Enumeration date
10/25/2021
Last updated
04/24/2025
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