| Creating Boundaries, Llc | |
|
200 E Main St Ste 208 Richmond KY 40475-1628 | |
| (488) 488-1096 | |
| Not Available |
| Full Name | Creating Boundaries, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 E Main St Ste 208, Richmond, Kentucky |
| Authorized Official Name and Position | Daniel Sulfridge (OWNER/THERAPIST) |
| Authorized Official Contact | 8594881096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Boundaries, Llc Po Box 523 Richmond KY 40476-0523 Ph: (859) 488-1096 | Creating Boundaries, Llc 200 E Main St Ste 208 Richmond KY 40475-1628 Ph: (488) 488-1096 |
| NPI Number | 1598370819 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598370819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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