Doctor Name: | MS. NANCY CLAY RICH |
NPI Number: | 1306255476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, M.ED., LPCA |
License Number: | KY-1661 |
Business Practice Address: | 1072 S Dixie Blvd Radcliff, KY - 401601103 |
Business Phone Number: | 2703518166 |
Business Fax Number: | |
Mailing Address: | 9205 Gleanings Rd, NEW HOPE |
State: | KY |
Postal Code: | 400529504 |
Phone Number: | 2703254111 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2014 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | KY-1661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |