Tera Buerkle Llc | |
118 Constitution St Ste 110 Lexington KY 40507-2111 | |
(859) 359-8266 | |
Not Available |
Full Name | Tera Buerkle Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 118 Constitution St Ste 110, Lexington, Kentucky |
Authorized Official Name and Position | Tera M Buerkle (LICENSED MARRIAGE & FAMILY THERAPY) |
Authorized Official Contact | 8593598266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tera Buerkle Llc 118 Constitution St Ste 110 Lexington KY 40507-2111 Ph: (859) 359-8266 | Tera Buerkle Llc 118 Constitution St Ste 110 Lexington KY 40507-2111 Ph: (859) 359-8266 |
NPI Number | 1629733936 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 02/27/2024 |
Certification Date | 02/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629733936 | NPI | - | NPPES |
1841861689 | Other | NPI 1 | |
289138 | Other | KY | KENTUCKY BOARD OF LICENSURE FOR MARRIAGE AND FAMILY THERAPISTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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