Organization Name: | ABG LLC |
NPI Number: | 1023481447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA BANKS GALER (SOLE PROPRIETOR) |
Mailing Address: | 50 E Rivercenter Blvd Suite 416 Covington |
State: | KY US |
Postal Code: | 410111683 |
Phone Number: | 8588782176 |
Fax Number: | 8598782177 |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |