| Therapeutic Collaborative | |
|
519 Licking Pike Wilder KY 41071 | |
| (859) 572-0400 | |
| (859) 442-3363 |
| Full Name | Therapeutic Collaborative |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 519 Licking Pike, Wilder, Kentucky |
| Authorized Official Name and Position | Virginia Ellen Peppers (PARTNER) |
| Authorized Official Contact | 8595720400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Collaborative 519 Licking Pike Wilder KY 41071 Ph: (859) 572-0400 | Therapeutic Collaborative 519 Licking Pike Wilder KY 41071 Ph: (859) 572-0400 |
| NPI Number | 1629123443 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629123443 | NPI | - | NPPES |
| 65928897 | Medicaid | KY |
Mindlift Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 | |
Kathryn Blair Plymale Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 606-669-1031 | |
Lifes Journey Therapy And Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-441-2100 Fax: 859-441-2111 | |
Therapeutic Collabortive Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 |