William Robert Lively in Elizabethtown - Marriage & Family Therapist

William Robert Lively - NPI 1912169483

William Robert Lively is a Marriage & Family Therapist in Elizabethtown, Kentucky. William Robert Lively practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for William Robert Lively is 1912169483. The last update date is 2008-06-26.

William Robert Lively's current location address is 712 Sunrise Ln, Elizabethtown, Kentucky. You can contact this provider via phone number 2707699150. The mailing address for William Robert Lively is 712 Sunrise Ln, Elizabethtown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name William Robert Lively
Address 712 Sunrise Ln, Elizabethtown, Kentucky
Phone Number 2707699150
Fax Number
Sole Proprietor Y
Credentials LMFT

NPI Number Detail

NPI Number 1912169483
Provider Enumeration Date 2008-06-26
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 712 Sunrise Ln
City Elizabethtown
State Kentucky (KY)
Post Code 427012135
Phone Number 2707699150
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No KY-0572
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
KY-0572 KY LMFT

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FAQs about William Robert Lively

What is the unique 10-digit identifier code assigned to William Robert Lively by the Centers for Medicare & Medicaid Services?

The William Robert Lively has been issued the NPI (National Provider Identifier) 1912169483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where William Robert Lively is physically located?

The William Robert Lively is situated at the following address: 712 Sunrise Ln, Elizabethtown, KY 427012135.

What is the area of specialization for William Robert Lively, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for William Robert Lively is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912169483 to William Robert Lively?

The William Robert Lively received its 1912169483 assignment from the Centers for Medicare & Medicaid Services on 2008-06-26.

As of what date were the details related to William Robert Lively most recently updated or revised?

The information pertaining to William Robert Lively, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-26.

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