| New Seasons, Llc | |
|
106 Oaktree Plz London KY 40741-8337 | |
| (606) 682-2536 | |
| Not Available |
| Full Name | New Seasons, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Oaktree Plz, London, Kentucky |
| Authorized Official Name and Position | Summer Lynn Lewis (OWNER / OPERATOR) |
| Authorized Official Contact | 6066822536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Seasons, Llc 106 Oaktree Plz London KY 40741-8337 Ph: (606) 682-2536 | New Seasons, Llc 106 Oaktree Plz London KY 40741-8337 Ph: (606) 682-2536 |
| NPI Number | 1346639564 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346639564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1006 (Kentucky) | Secondary |
| 251S00000X | Community/behavioral Health | 1006 (Kentucky) | Primary |
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