Healthcare Provider Details

I. General information

NPI: 1689309635
Provider Name (Legal Business Name): K&G COUNSELING AND CONSULTING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 SCOTTSVILLE ROAD 17
BOWLING GREEN KY
42104-4210
US

IV. Provider business mailing address

2530 SCOTTSVILLE ROAD 17
BOWLING GREEN KY
42104
US

V. Phone/Fax

Practice location:
  • Phone: 270-598-2394
  • Fax:
Mailing address:
  • Phone: 270-598-2394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDSEY KATE WHITLEY
Title or Position: CO-OWNER/THERAPIST
Credential: LPCC
Phone: 615-886-0159