| Organization Name: | THERAPEUTIC COLLABORTIVE |
| NPI Number: | 1952445017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH MARGARET LUKEY (LCSW) |
| Mailing Address: | 525 Licking Pike Wilder |
| State: | KY US |
| Postal Code: | 41071 |
| Phone Number: | 8595720400 |
| Fax Number: | 8594423363 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1309 |
| 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 |