| Therapeutic Villlage, Llc | |
|
19 Wainscott Ave Winchester KY 40391-1970 | |
| (859) 595-5860 | |
| (502) 808-6041 |
| Full Name | Therapeutic Villlage, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19 Wainscott Ave, Winchester, Kentucky |
| Authorized Official Name and Position | Cheryl Lynn Elam (OWNER) |
| Authorized Official Contact | 8595955860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Villlage, Llc 5580 Ecton Rd Winchester KY 40391-9626 Ph: (859) 595-5860 | Therapeutic Villlage, Llc 19 Wainscott Ave Winchester KY 40391-1970 Ph: (859) 595-5860 |
| NPI Number | 1881076461 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881076461 | NPI | - | NPPES |
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