SPECIALIZED THERAPY GROUP LLC NPI 1336404912

NPI Information

  • NPI: 1336404912
  • Provider Name: SPECIALIZED THERAPY GROUP, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 340 17TH ST
    ASHLAND, KY
    ZIP 41101
  • Phone: (606) 420-4070

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NPI Details

SPECIALIZED THERAPY GROUP, LLC is an addiction (substance use disorder) counselor in Ashland, KY. SPECIALIZED THERAPY GROUP, LLC NPI is 1336404912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

340 17TH ST
ASHLAND, KY
ZIP 41101-628
Phone: (606) 420-4070
Fax: (606) 420-4071

The provider's authorized official is William Edward Carter .
The authorized official title is Co-founder and has the following contact phone number (606) 420-4070.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 1/30/2013.

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
1101YM0800XCounselorMental Health0864KENTUCKYNo
2261QX0100XClinic/CenterOccupational Medicine29912KENTUCKYNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4101YA0400XCounselorAddiction (Substance Use Disorder)RI-C1112181215Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164106826MEDICAIDKENTUCKY
2H45449MEDICARE UPINKENTUCKY
31971901MEDICARE PINKENTUCKY

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: 11/21/2025

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