NPI 1336686062

Demetrius King

Organisation Exclusive Provider Organization Bowling Green, KY

Practice location

Address: 1990 Louisville Rd STE 101, Bowling Green, KY 42101-1202
Phone: (270) 303-4669

Authorised official

Name: Demetrius King
Title: Therapist/Owner
Phone: (270) 303-4669

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 171431 (KY)

Other Exclusive Provider Organization providers in Kentucky →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 171431 (KY)

Other Counselor providers in Kentucky →

Registry record

NPI: 1336686062
Entity type: Organization
NPI issued: 19 Jan 2017
Record last updated: 2 Mar 2017

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.