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NPI Code Detail

MEDICARE: COUNSELING AND DIAGNOSTIC CENTER, LLC

MEDICARE: COUNSELING AND DIAGNOSTIC CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorKY
2101YP2500XProfessional Counselor
3103T00000XPsychologistKY
4104100000XSocial WorkerKY
51041C0700XClinical Social Worker
6106H00000XMarriage & Family TherapistKY
7103TC0700XClinical PsychologistKY

General Provider Information

NPI Number : 1679644967
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING AND DIAGNOSTIC CENTER, LLC
Provider Business Mailing Address
First Line : 7426 US HIGHWAY 42 STE 106
Second Line :
City : FLORENCE
State : KY
Zip : 41042-2056
Country : US
Telephone Number : 859-282-0119
Fax Number : 859-282-8018
Provider Business Practice Location Address
First Line : 7426 US HIGHWAY 42 STE 106
Second Line :
City : FLORENCE
State : KY
Zip : 41042-2056
Country : US
Telephone Number : 859-282-0119
Fax Number : 859-282-8018
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. THOMAS CRATON NOYES
Credential : PHD
Telephone Number : 859-282-0119
Provider Enumeration Date : 11/10/2006
Last Update Date : 02/27/2025

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Directions to “COUNSELING AND DIAGNOSTIC CENTER, LLC ” Practice Location

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