| Heritage Counseling And Consultation Center, Llc | |
|
611 Peaceful Dr Elizabethtown KY 42701-6465 | |
| (270) 996-5877 | |
| Not Available |
| Full Name | Heritage Counseling And Consultation Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 611 Peaceful Dr, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Geraldine Hickerson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2709965877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Counseling And Consultation Center, Llc 611 Peaceful Dr Elizabethtown KY 42701-6465 Ph: (270) 996-5877 | Heritage Counseling And Consultation Center, Llc 611 Peaceful Dr Elizabethtown KY 42701-6465 Ph: (270) 996-5877 |
| NPI Number | 1518369040 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518369040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3394 (Kentucky) | Primary |
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