Wellness Place Llc

LBN: Wellness Place Llc
Wellness Place Llc is an health care organization with primary practice located at 68 Cedar St. , Kuttawa KY 42055. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Wellness Place Llc can be contacted via phone (270) 601-1575, or through Jones, Daniel Kristin via phone (270) 601-4235.

Contact Information

Primary practice address
68 Cedar St. Kuttawa KY 42055
Phone: (270) 601-1575
Fax: (270) 350-4673
Website:
Map and Directions
Authorized official contact:
Name: Jones, Daniel Kristin PSY.D.
Phone: (270) 601-4235

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1313 Kentucky

Profile Details

NPI number 1316208069
LBN Legal business name Wellness Place Llc
DBA Doing business as
Authorized official Jones, Daniel Kristin PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2012
Last updated Aug 6th, 2019 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1316208069 NPPES
Kentucky MEDICAID 7100299330

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