NPI Code Details Logo

NPI 1689760720

NPI 1689760720 : ST. CLAIRE COUNSELING : MOREHEAD, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689760720
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ST. CLAIRE COUNSELING 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2006
-----------------------------------------------------
    Last Update Date     |    08/17/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    555 W SUN ST 
-----------------------------------------------------
    City                 |    MOREHEAD
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40351-1563
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-783-6805
-----------------------------------------------------
    Fax                  |    606-783-6869
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    234 MEDICAL CIR 
-----------------------------------------------------
    City                 |    MOREHEAD
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40351-1194
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-783-6805
-----------------------------------------------------
    Fax                  |    606-783-6869
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/PRESIDENT
-----------------------------------------------------
    Name                 |     DONALD H LLOYD II
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    606-783-6502
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    78
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    754
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    825
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    31344
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    24639
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    1779P
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    22071
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.