AWARENESS AND DISCOVERY GROUP LLC (NPI# 1053692012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053692012 |
Entity Type | Organization |
Organization Name | AWARENESS AND DISCOVERY GROUP LLC |
Other Organization Name | AWARENESS & DISCOVERY MODLIN GROUP |
Practice Address |
2 Dortha Ave Florence KY 41042-2014 |
Practice Telephone | 8595251487 |
Practice Fax Number | 8595257811 |
Mailing Telephone | 8595251487 |
Mailing Fax Number | 8595257811 |
Enumeration Date | 2011-09-06 |
Last Update Date | 2015-09-24 |
Authorized Official Name | MR. RICK N. HAMM (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Telephone | 8595251487 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Awareness & Discovery Modlin Group | Doing Business As Name - Organization |
Street Address |
2 DORTHA AVE |
City | FLORENCE |
State | KY |
Zip Code | 41042-2014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073541454 | Nancy Lester | Social Worker | 2 Dortha Ave, Awareness & Discovery Group, Florence, KY 41042-6910 | 2006-06-28 |
1831474857 | Albert L Watson | Counselor | 2 Dortha Ave, Awareness & Discovery Group, Florence, KY 41042-2014 | 2011-10-21 |
1114202439 | Robert Oliver Wenert | Social Worker | 2 Dortha Ave, Awareness & Discovery Group, Florence, KY 41042-2014 | 2011-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
Find all providers in zip 41042 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1154365062 | St Elizabeth Medical Center, Inc | Clinic/Center | 4900 Houston Rd, Florence, KY 41042 | 2006-06-15 |
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1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.