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APPALACHIAN WELLNESS L.L.C. NPI 1932566544


NPI Information

NPI: 1932566544
Provider Name: APPALACHIAN WELLNESS, L.L.C.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 18D2224577

Address:
592 KY 15 SOUTH
SUITE 5
CAMPTON, KY
ZIP 41301
Phone: (606) 668-7393
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APPALACHIAN WELLNESS, L.L.C. is a clinical psychologist in Campton, KY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. APPALACHIAN WELLNESS, L.L.C. NPI is 1932566544. The provider is registered as an organization entity type.

The provider's business location address is:

592 KY 15 SOUTH
SUITE 5
CAMPTON, KY
ZIP 41301
Phone: (606) 668-7393
Fax: (866) 718-4137

The provider's authorized official is Sheri Lyn Rose Haas .
The authorized official title is Owner and has the following contact phone number (606) 668-7393.

The CLIA number assigned to this NPI record is 18D2224577 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2016 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1273R00000XPsychiatric Unit41931KENTUCKYNo
2103TC0700XPsychologistClinicalPSYPPR00216468KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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