| Collaborative Counseling Group | |
|
208 N Mulberry St Elizabethtown KY 42701-1464 | |
| (270) 312-2860 | |
| (270) 312-2860 |
| Full Name | Collaborative Counseling Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 208 N Mulberry St, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Phyllis K Lonneman (CEO) |
| Authorized Official Contact | 2702340267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling Group 202 N Mulberry St Elizabethtown KY 42701-1441 Ph: (270) 312-2860 | Collaborative Counseling Group 208 N Mulberry St Elizabethtown KY 42701-1464 Ph: (270) 312-2860 |
| NPI Number | 1962915579 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962915579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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