Ad Astra Collaborative Therapy
Community/Behavioral Health in Brandenburg, KY. Organization (NPI-2).
NPI number1891237442
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1891237442
- Entity type
- Organization (NPI-2)
- Legal business name
- Ad Astra Collaborative Therapy
- Organization subpart
- No
- Enumeration date
- Nov 14, 2016
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | 104353 | KY |
Other names
- Ad Astra Counseling LLC (Former Legal Business Name)
Practice location
940 Willards LaneBrandenburg, KY 40108
Phone 502-203-9197
Mailing address
940 Willards LaneBrandenburg, KY 40108
Phone 502-203-9197
Authorized official
Jennifer Kendrick
Therapist - Owner
5022039197
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