=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760118251
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY ACHIA SILER LPCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2022
-----------------------------------------------------
Last Update Date | 04/12/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 LANGDON ST
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42503-2786
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-678-8155
-----------------------------------------------------
Fax | 606-678-7548
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1080
-----------------------------------------------------
City | BURKESVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42717-1080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-858-6655
-----------------------------------------------------
Fax | 270-858-4607
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 278943
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------