| Inner Circle Counseling And Consulting, Llc | |
|
11343 Jordan Ct Fort Campbell KY 42223-6080 | |
| (919) 374-0160 | |
| Not Available |
| Full Name | Inner Circle Counseling And Consulting, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11343 Jordan Ct, Fort Campbell, Kentucky |
| Authorized Official Name and Position | Angela P Petty (OWNER) |
| Authorized Official Contact | 9193740160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Circle Counseling And Consulting, Llc 11343 Jordan Ct Fort Campbell KY 42223-6080 Ph: () - | Inner Circle Counseling And Consulting, Llc 11343 Jordan Ct Fort Campbell KY 42223-6080 Ph: (919) 374-0160 |
| NPI Number | 1417765645 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417765645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Guided Paths Behavior And Supports Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11013 Trimble Blvd Unit A, Fort Campbell, KY 42223 Phone: 423-488-5057 |