MEDICARE: WARRIOR GODDESS TRIBE, 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1700631199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARRIOR GODDESS TRIBE, LLC

Provider Business Mailing Address
First Line	:	801 HIGHLAND AVE
Second Line	:
City	:	FLATWOODS
State	:	KY
Zip	:	41139-1125
Country	:	US
Telephone Number	:	606-744-4018
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 SAINT CHRISTOPHER DR
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41101-7026
Country	:	US
Telephone Number	:	606-744-4018
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	EMILY AUST
Credential	:	LPCA
Telephone Number	:	606-744-4018

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	04/19/2024

Similar Medicare Providers

1669033734 — MEGAN ENYART NP
Practice Location Address:

600 SAINT CHRISTOPHER DR
ASHLAND, KY
41101-7026

Practice Phone: 606-922-0695
Practice Fax:

1346108628 — DENISE D. MEEKS FNP-BC
Practice Location Address:

2222 WINCHESTER AVE
ASHLAND, KY
41101-7847

Practice Phone: 606-467-2650
Practice Fax:

1235807108 — PAULETTA BATES LCSW
Practice Location Address:

1201 SAINT CHRISTOPHER DR
ASHLAND, KY
41101-7064

Practice Phone: 606-388-2898
Practice Fax: 606-388-2901

1265386247 — BRITNEY STEPHENS
Practice Location Address:

2201 LEXINGTON AVE
ASHLAND, KY
41101-2843

Practice Phone: 606-408-4000
Practice Fax:

1669225009 — DR. JESSICA BLAINE BRUMFIELD PHARMD
Practice Location Address:

2201 LEXINGTON AVE
ASHLAND, KY
41101-2843

Practice Phone: 606-408-1187
Practice Fax:

1154381994 — DR. DONNA RAE ADAMS MD
Practice Location Address:

2201 LEXINGTON AVE
ASHLAND, KY
41101-2843

Practice Phone: 606-327-4000
Practice Fax: 606-327-7425

Directions to “WARRIOR GODDESS TRIBE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.