Selah Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPCCCA00224162 Issued in KY

Legal business name

SELAH WELLNESS LLC

Practice address

448 Breck Ave
Richmond, KY 40475-1302

Phone

(859) 221-7975

NPI assigned

Jan 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cristin Lynne Keeling, LPCA

Title

Director

Phone

(859) 221-7975

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1780041632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 BRECK AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751302",
            "telephone_number": "859-221-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 BRECK AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751302",
            "telephone_number": "859-221-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "KEELING",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-221-7975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "LPCCCA00224162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, KY
• Providers in Richmond, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.