Healthcare Provider Details
I. General information
NPI: 1821824269
Provider Name (Legal Business Name): CIRCLE OF TRUST COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2024
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
671 W HIGHWAY 80 STE 3
SOMERSET KY
42503-1713
US
IV. Provider business mailing address
671 W HIGHWAY 80 STE 3
SOMERSET KY
42503-1713
US
V. Phone/Fax
- Phone: 606-416-8276
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
W
NEWMAN
Title or Position: OWNER
Credential:
Phone: 606-416-8276