Healthcare Provider Details

I. General information

NPI: 1104455682
Provider Name (Legal Business Name): RIGHT TIME CLINICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 SHAKER DR STE 80
LEXINGTON KY
40504-3628
US

IV. Provider business mailing address

715 SHAKER DR STE 80
LEXINGTON KY
40504-3628
US

V. Phone/Fax

Practice location:
  • Phone: 859-263-2204
  • Fax: 859-303-8006
Mailing address:
  • Phone: 859-263-2204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAITLYN PLYMALE
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 859-612-8034