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Raven Rock Wellness Center Llc
Adolescent and Children Mental Health Clinic/Center in Stanton, Kentucky
NPI 1114632577

Raven Rock Wellness Center Llc is an Adolescent and Children Mental Health Clinic/Center based in Stanton, KY and is specialized in Adolescent and Children Mental Health. Raven Rock Wellness Center Llc practices in Stanton, KY. The NPI Number for Raven Rock Wellness Center Llc is 1114632577 and holds a License No. (Kentucky).

The current practice location address for Raven Rock Wellness Center Llc is 221 Halls Rd, Stanton, KY and can be reached out via phone at 606-775-0515 and via fax at 606-552-0964.

Location: 221 Halls Rd, Stanton, KY, 40380-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114632577
Provider Name
Raven Rock Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
221 Halls Rd, Stanton, KY, 40380-2027
Phone Number
606-775-0515
Fax Number
606-552-0964
Provider Enumeration Date
01/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
221 Halls Rd
City
Stanton
State
Kentucky
Zip
40380-2027
Phone Number
606-775-0515
Fax Number
606-552-0964
person
Provider Business Mailing Address Details
Address
221 Halls Rd
City
Stanton
State
Kentucky
Zip
40380-2027
Phone Number
606-775-0515
Fax Number
606-552-0964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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