Create Your Own Path, LLC
NPI #1427769058 in Hardinsburg, Kentucky
Provider Information
- NPI Number
- 1427769058
- Entity Type
- Organization
- Organization Name
- Create Your Own Path, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 5, 2022
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 609 OLD HIGHWAY 60
- City
- Hardinsburg
- State
- Kentucky
- ZIP Code
- 40143-2511
- Phone
- (270) 779-5881
Authorized Official
- Name
- MR. TREVOR B MEAD, LCSW
- Title
- CEO
- Phone
- (270) 779-5881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
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