Provider Demographics
NPI:1962933556
Name:COUNSELING OF THE BLUEGRASS LLC
Entity type:Organization
Organization Name:COUNSELING OF THE BLUEGRASS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUSANNE
Authorized Official - Last Name:ORMSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-377-5050
Mailing Address - Street 1:419 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1812
Mailing Address - Country:US
Mailing Address - Phone:859-377-5050
Mailing Address - Fax:859-377-5006
Practice Address - Street 1:419 MAIN ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1812
Practice Address - Country:US
Practice Address - Phone:859-377-5050
Practice Address - Fax:859-377-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY800238251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health