Healthcare Provider Details

I. General information

NPI: 1013841451
Provider Name (Legal Business Name): MIDDLETON COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 CHASTEEN DR
MIDDLESBORO KY
40965-2519
US

IV. Provider business mailing address

137 CHASTEEN DR
MIDDLESBORO KY
40965-2519
US

V. Phone/Fax

Practice location:
  • Phone: 606-500-8226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MIDDLETON
Title or Position: OWNER/LPCC
Credential: LPCC
Phone: 606-500-8226