18D2198171 CLIA NUMBER - VICTORY COUNSELING LLC

Laboratory Demographics

  • CLIA Code: 18D2198171
  • Facility Name: VICTORY COUNSELING LLC
  • Facility Address: 111 PROGRESS DR, STE 400
    MOUNT VERNON, KY
    ZIP 40456
  • Facility Phone: 606 401-2075
  • Facility Type: Other - OUTPATIENT MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: MS. EMILY M. HICKS
  • NPI Number: 1174144307
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 18D2198171
LAB Type Other - OUTPATIENT MENTAL HEALTH
Facility Name VICTORY COUNSELING LLC
Street 111 PROGRESS DR, STE 400
City MOUNT VERNON
State KY
ZIP 40456
Phone 606 401-2075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Other - OUTPATIENT MENTAL HEALTH
Lab Director MS. EMILY M. HICKS

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This page was last updated on: 9/29/2025