Mandala Therapeutic Services
LBN: Mandala Therapeutic Services
Mandala Therapeutic Services is an health care organization with primary practice located at 1201 Saint Christopher Dr , Ashland KY 41101-7064. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Mandala Therapeutic Services can be contacted via phone (606) 388-2898, or through Smith, Jennifer via phone (606) 388-2898.
Contact Information
Primary practice address
1201 Saint Christopher Dr
Ashland KY 41101-7064
Phone: (606) 388-2898
Fax:
Website:
Authorized official contact:
Name: Smith, Jennifer Licensed Clinical Social Worker (LCSW)
Phone: (606) 388-2898
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1053878413 |
|---|---|
| LBN Legal business name | Mandala Therapeutic Services |
| DBA Doing business as | |
| Authorized official | Smith, Jennifer Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2019 |
| Last updated | Mar 6th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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