Healthcare Provider Details

I. General information

NPI: 1033036421
Provider Name (Legal Business Name): AUGUST LILY TUGGLE MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 PROFESSIONAL HEIGHTS DR SUITE 180
LEXINGTON KY
40503
US

IV. Provider business mailing address

2375 PROFESSIONAL HEIGHTS DR SUITE 180
LEXINGTON KY
40503
US

V. Phone/Fax

Practice location:
  • Phone: 859-456-0292
  • Fax:
Mailing address:
  • Phone: 859-456-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: