Organization Name: | TOGETHER WE CAN COUNSELING CENTER, LLC |
NPI Number: | 1073736294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SMITTY MOORE (ADMINISTRATOR) |
Mailing Address: | 777 N Laurel Rd London |
State: | KY US |
Postal Code: | 407416025 |
Phone Number: | 6068624455 |
Fax Number: | 6068627722 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |