Healthcare Provider Details

I. General information

NPI: 1043075922
Provider Name (Legal Business Name): FAMILY HEALING COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 KY ROUTE 3188
LANGLEY KY
41645-8910
US

IV. Provider business mailing address

348 KY ROUTE 3188
LANGLEY KY
41645-8910
US

V. Phone/Fax

Practice location:
  • Phone: 606-226-6892
  • Fax: 606-769-0868
Mailing address:
  • Phone: 606-226-6892
  • Fax: 606-769-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERRIE HARRIS
Title or Position: ADMINISTRATOR
Credential: LPCC-S
Phone: 606-226-6892