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General NPI Number Information
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NPI Number | 1760142491
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Entity Type | Organization
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Legal Business Name | BLUE SKIES COUNSELING, PLLC
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 4000 N DIXIE HWY STE 4
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-4650
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Country | US
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Telephone | 270-982-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 N DIXIE HWY STE 4
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-4650
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Country | US
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Telephone | 270-982-1555
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Fax | 270-982-1559
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | LEA ANN LAFAVE
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Credential | CPC
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Telephone | 270-307-8089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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