Organization
DAYSPRING COUNSELING CENTER
Active
Parent organization
GARY LANDIS
Other names
Gary Landis
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY LANDIS
Authorized official
MR. GARY DANE LANDIS LMFT, CADC, QMHP (OWNER/THERAPIST)
(270) 299-2262
Entity
Organization
Contact information
Practice address
2673 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-9703
(270) 299-2262
(270) 299-2264
Mailing address
PO BOX 157, SUMMERSVILLE, KY 42782-0157
(270) 299-2262
(270) 299-2264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0485
KY
261QM0850X
Adult Mental Health Clinic/Center
0485
KY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0485
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0436
KY
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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