Active NPI
Miles of Hope Counseling Center, LLC
- Community/Behavioral Health Agency
- Stanford, KY
National Provider Identifier
1134513252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4004
- Legal business name
- MILES OF HOPE COUNSELING CENTER, LLC
- Practice address
- 107 N 2ND St
Stanford, KY 40484-1321 - Phone
- (606) 303-3560
- Fax
- (606) 365-2263
- NPI assigned
- Mar 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Loveless-Tackett, MSW, LCSW, ACSW
- Title
- Owner/Clinical Social Worker
- Phone
- (606) 303-3560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4004 | KY | Primary |
Addresses
Primary practice location
107 N 2ND St
Stanford, KY 40484-1321
Mailing address
107 N 2ND St
Stanford, KY 40484-1321
Phone (606) 303-3560
National Provider Directory
National Provider DirectoryLocations
107 N 2nd St
Stanford, KY 40484
Phone (606) 303-3560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1134513252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N 2ND ST",
"city": "STANFORD",
"state": "KY",
"postal_code": "404841321",
"telephone_number": "606-303-3560",
"fax_number": "606-365-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N 2ND ST",
"city": "STANFORD",
"state": "KY",
"postal_code": "404841321",
"telephone_number": "606-303-3560",
"fax_number": "606-365-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILES OF HOPE COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-26",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "LOVELESS-TACKETT",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "606-303-3560",
"authorized_official_credential": "MSW, LCSW, ACSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "KY",
"license": "4004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.