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General NPI Number Information
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NPI Number | 1962933556
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Entity Type | Organization
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Legal Business Name | COUNSELING OF THE BLUEGRASS LLC
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 419 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1812
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Country | US
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Telephone | 859-377-5050
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Fax | 859-377-5006
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Provider Business Mailing Address
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Address Line | 419 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1812
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Country | US
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Telephone | 859-377-5050
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Fax | 859-377-5006
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER SUSANNE ORMSBY
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Credential | LPCC
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Telephone | 859-377-5050
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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 | 800238
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License Number State | KY
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