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Change Dynamics Therapy
Mental Health Counselor in Lawrenceburg, Kentucky
NPI 1164010369

Change Dynamics Therapy is a Mental Health Counselor based in Lawrenceburg, KY and is specialized in Mental Health. Change Dynamics Therapy practices in Lawrenceburg, KY. The NPI Number for Change Dynamics Therapy is 1164010369 and holds a License No. (Kentucky).

The current practice location address for Change Dynamics Therapy is 1004 Edgewood Way, Lawrenceburg, KY and can be reached out via phone at 859-582-9606.

Location: 1004 Edgewood Way, Lawrenceburg, KY, 40342-1641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164010369
Provider Name
Change Dynamics Therapy
Credential
Provider Entity Type
Organization
Address
1004 Edgewood Way, Lawrenceburg, KY, 40342-1641
Phone Number
859-582-9606
Fax Number
Provider Enumeration Date
01/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100537200 05 KY
institution
Provider Business Practice Location Address Details
Address
1004 Edgewood Way
City
Lawrenceburg
State
Kentucky
Zip
40342-1641
Phone Number
859-582-9606
Fax Number
person
Provider Business Mailing Address Details
Address
1004 Edgewood Way
City
Lawrenceburg
State
Kentucky
Zip
40342-1641
Phone Number
859-582-9606
Fax Number
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...
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