Healthcare Provider Details

I. General information

NPI: 1467397307
Provider Name (Legal Business Name): MARJORIE PRICE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 NICHOLASVILLE RD STE C
LEXINGTON KY
40503-3111
US

IV. Provider business mailing address

PO BOX 1429
MT WASHINGTON KY
40047-1429
US

V. Phone/Fax

Practice location:
  • Phone: 502-538-1000
  • Fax:
Mailing address:
  • Phone: 502-538-1000
  • Fax: 502-538-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number306540
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: