Raven Rock Wellness Center LLC

NPI #1114632577 in Stanton, Kentucky

Provider Information

NPI Number: 1114632577
Entity Type: Organization
Organization Name: Raven Rock Wellness Center LLC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jan 20, 2023
Last Updated: Jan 20, 2023

Practice Location

Address: 221 HALLS RD
City: Stanton
State: Kentucky
ZIP Code: 40380-2027
Phone: (606) 775-0515

Authorized Official

Name: DANA CONN, LCSW
Title: MEMBER
Phone: (606) 775-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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