| Everglade Psychotherapy Group Llc | |
|
73 Cavalier Blvd Ste 321 Florence KY 41042-5185 | |
| (513) 341-5241 | |
| Not Available |
| Full Name | Everglade Psychotherapy Group Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 73 Cavalier Blvd Ste 321, Florence, Kentucky |
| Authorized Official Name and Position | Daniel J Bush (DIRECTOR) |
| Authorized Official Contact | 5133415241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everglade Psychotherapy Group Llc 10228 Hempsteade Dr Union KY 41091-9484 Ph: (513) 341-5241 | Everglade Psychotherapy Group Llc 73 Cavalier Blvd Ste 321 Florence KY 41042-5185 Ph: (513) 341-5241 |
| NPI Number | 1356926372 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356926372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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