Healthcare Provider Details

I. General information

NPI: 1558899138
Provider Name (Legal Business Name): EMILY DOWNER M.A., LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2017
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 BIG HILL AVE STE 5
RICHMOND KY
40475
US

IV. Provider business mailing address

PO BOX 802
BEREA KY
40403-0802
US

V. Phone/Fax

Practice location:
  • Phone: 859-428-7862
  • Fax: 859-999-7869
Mailing address:
  • Phone: 859-985-7862
  • Fax: 859-972-0616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number170922
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number251985
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number170922
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number251985
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: