Therapeutic Villlage, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THERAPEUTIC VILLLAGE, LLC

Practice address

19 Wainscott Ave
Winchester, KY 40391-1970

Phone

(859) 595-5860

Fax

(502) 808-6041

NPI assigned

Jun 19, 2015

Last updated

Apr 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Lynn Elam, LMFT

Title

Owner

Phone

(859) 595-5860

Specialties & licenses 4

Addresses

Other names 1

• Therapeutic Village Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misti Lynn Hall, LMFT

  • Marriage & Family Therapist
  • Winchester, KY
  • NPI 1952741027
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1881076461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 ECTON RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919626",
            "telephone_number": "859-595-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WAINSCOTT AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911970",
            "telephone_number": "859-595-5860",
            "fax_number": "502-808-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC VILLLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-595-5860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Village",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brenda Gail Taulbee, PSS
• Adam W Taylor, DO
• Lisa Jeanell Taylor, LPCC
• Micah Taylor
• Freddie L Terrell, MD
• Jacqueline M Thiry, PA-C
• Thomas & Associates OB GYN PLLC
• Shawna D Thomerson, MSW, CSW
• Matthew G Thompson, DC
• Whitney Todd Thompson

• Marriage & Family Therapist in Winchester, KY
• Providers in Winchester, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.