| Mustard Tree Counseling, Inc. | |
|
620 Big Hill Ave Suite 15 Richmond KY 40475-2501 | |
| (859) 626-0001 | |
| Not Available |
| Full Name | Mustard Tree Counseling, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 620 Big Hill Ave, Richmond, Kentucky |
| Authorized Official Name and Position | Samuel Anthony Miller (VICE PRESIDENT) |
| Authorized Official Contact | 8596260001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Tree Counseling, Inc. 620 Big Hill Ave Suite 15 Richmond KY 40475-2501 Ph: (859) 626-0001 | Mustard Tree Counseling, Inc. 620 Big Hill Ave Suite 15 Richmond KY 40475-2501 Ph: (859) 626-0001 |
| NPI Number | 1265858559 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265858559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | KY1533 (Kentucky) | Primary |
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