Whalio Doctors

NPI 1306289293

Glow Therapeutic Services of Kentucky, LLC

Organisation Community/Behavioral Health Agency Owensboro, KY

Practice location

Address
210 W 3rd St, Owensboro, KY 42303-4121
Phone
(812) 453-8543
Fax
(270) 906-1150

Authorised official

Name
Marissa S Hubert
Title
Outpatient Therapist
Phone
(812) 453-8543

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 3407 (KY)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 0981 (KY)

Registry record

NPI
1306289293
Entity type
Organization
NPI issued
10 Apr 2013
Record last updated
4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.