Georgetown Counseling Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Georgetown, KY. Organization (NPI-2).
NPI number1669907994
StatusActive
Last updated in NPPESApr 24, 2017
Details
- NPI
- 1669907994
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgetown Counseling Services
- Organization subpart
- No
- Enumeration date
- Apr 24, 2017
- Last updated
- Apr 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 3292 | KY | Yes |
Practice location
137 E Main StGeorgetown, KY 40324-1786
Phone 859-312-6400 · Fax 859-309-4588
Mailing address
315 N Broadway StGeorgetown, KY 40324-1305
Phone 859-312-6400 · Fax 859-309-4588
Authorized official
Kim Petrae Johnson
Owner
8593126400
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