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NPI 1295831436

NPI 1295831436 : TONYA L GREGORY LMFT : ALVATON, KY

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General NPI Number Information
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    NPI Number           |    1295831436
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    Entity Type          |    Individual 
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    Provider Name        |    TONYA L GREGORY LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    08/14/2025
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Provider Practice Location Address
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    Address Line         |    6350 OLD SCOTTSVILLE RD 
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    City                 |    ALVATON
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    State                |    KY
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    Zip                  |    42122-9767
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    Country              |    US
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    Telephone            |    844-435-0900
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    Fax                  |    270-858-4029
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1080 
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    City                 |    BURKESVILLE
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    State                |    KY
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    Zip                  |    42717-1080
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    Country              |    US
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    Telephone            |    270-858-6655
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    Fax                  |    270-858-4027
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    KY-0599
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    License Number State |    KY
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