Individual
DORINDA LAFON LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
608 S MAIN ST, FRANKLIN, KY 42134-2329
(270) 586-4645
(270) 586-4647
Mailing address
1771 OLD HARTSVILLE RD, SCOTTSVILLE, KY 42164-9342
(270) 622-7136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1265
KY
101YM0800X
Mental Health Counselor
1265
KY
101YP2500X
Professional Counselor
Primary
1265
KY
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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