=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801049473
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANOTHER WAY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/28/2008
-----------------------------------------------------
Last Update Date | 10/28/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 219 N COURT ST
-----------------------------------------------------
City | MORGANFIELD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42437-1403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-389-3400
-----------------------------------------------------
Fax | 270-389-0054
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 511
-----------------------------------------------------
City | MORGANFIELD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42437-0511
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-389-3400
-----------------------------------------------------
Fax | 270-389-0054
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROGRAM DIRECTOR
-----------------------------------------------------
Name | MS. JENNIFER L HARWOOD
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 270-389-3400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 810177
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------