Healthcare Provider Details

I. General information

NPI: 1902650302
Provider Name (Legal Business Name): ALCHEMY EMPOWERMENT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 WALNUT GROVE SCHOOL RD
BONNIEVILLE KY
42713-8495
US

IV. Provider business mailing address

1035 WALNUT GROVE SCHOOL RD
BONNIEVILLE KY
42713-8495
US

V. Phone/Fax

Practice location:
  • Phone: 270-537-1215
  • Fax:
Mailing address:
  • Phone: 270-537-1215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHONDA CHENEALL SAETTEL
Title or Position: OWNER
Credential: LCSW
Phone: 270-537-1215