Healthcare Provider Details

I. General information

NPI: 1023509106
Provider Name (Legal Business Name): HART COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 WALNUT ST
FRANKFORT KY
40601-3240
US

IV. Provider business mailing address

138 WALNUT ST
FRANKFORT KY
40601-3240
US

V. Phone/Fax

Practice location:
  • Phone: 502-545-4284
  • Fax: 502-871-5049
Mailing address:
  • Phone: 502-545-4284
  • Fax: 502-871-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number239932
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number165090
License Number StateKY

VIII. Authorized Official

Name: MRS. MELISSA HART
Title or Position: OWNER
Credential: MA, LPCC, LCADC
Phone: 502-545-1016