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General NPI Number Information
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NPI Number | 1093255440
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Entity Type | Organization
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Legal Business Name | EMBRACE HOPE RECOVERY CENTER
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Dates
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Enumeration Date | 03/05/2017
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 1000 E JOHN ROWAN BLVD STE 107
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone | 502-331-6002
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Fax | 502-331-6122
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Provider Business Mailing Address
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Address Line | 1000 E JOHN ROWAN BLVD STE 107
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CINDY BALLARD
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Credential | LCADC
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Telephone | 502-510-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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