Enlighten Mental Wellness Llc | |
10550 S Highway 27 Ste 3 Burnside KY 42519-9450 | |
(606) 400-2227 | |
Not Available |
Full Name | Enlighten Mental Wellness Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10550 S Highway 27 Ste 3, Burnside, Kentucky |
Authorized Official Name and Position | Misty Goldson (PMHNP/NURSE PRACTITIONER) |
Authorized Official Contact | 6064002227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enlighten Mental Wellness Llc Po Box 142 Burnside KY 42519-0142 Ph: () - | Enlighten Mental Wellness Llc 10550 S Highway 27 Ste 3 Burnside KY 42519-9450 Ph: (606) 400-2227 |
NPI Number | 1962278507 |
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Provider Enumeration Date | 11/27/2023 |
Last Update Date | 11/27/2023 |
Certification Date | 11/26/2023 |
Identifier | Type | State | Issuer |
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1962278507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |