| 31:2 Counseling Group, Llc | |
|
111 N Woodland Dr Ste B Radcliff KY 40160-2678 | |
| (270) 348-4840 | |
| Not Available |
| Full Name | 31:2 Counseling Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 N Woodland Dr Ste B, Radcliff, Kentucky |
| Authorized Official Name and Position | Charles Lewis (THERAPIST/OWNER) |
| Authorized Official Contact | 2708070533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 31:2 Counseling Group, Llc 127 Medical Center Dr Radcliff KY 40160-8959 Ph: (270) 348-4840 | 31:2 Counseling Group, Llc 111 N Woodland Dr Ste B Radcliff KY 40160-2678 Ph: (270) 348-4840 |
| NPI Number | 1992360085 |
|---|---|
| Provider Enumeration Date | 05/05/2019 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992360085 | NPI | - | NPPES |
| 7100560030 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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