| Southern Kentucky Therapeutic Interventions And Behavior Health Servic | |
|
319 Johnny Dr Science Hill KY 42553-9146 | |
| (606) 392-3958 | |
| Not Available |
| Full Name | Southern Kentucky Therapeutic Interventions And Behavior Health Servic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 Johnny Dr, Science Hill, Kentucky |
| Authorized Official Name and Position | Melissa Mcintosh (OWNER) |
| Authorized Official Contact | 6063923958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Kentucky Therapeutic Interventions And Behavior Health Servic 319 Johnny Dr Science Hill KY 42553-9146 Ph: (606) 392-3958 | Southern Kentucky Therapeutic Interventions And Behavior Health Servic 319 Johnny Dr Science Hill KY 42553-9146 Ph: (606) 392-3958 |
| NPI Number | 1104668920 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104668920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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