Total Spectrum Autism Services Llc
Counselor Clinic
515 Maplewood Blvd, Georgetown
Indiana, 47122-9261
502-767-9405 812-727-5522
Maps & DirectionsTotal Spectrum Autism Services Llc is a Counselor Clinic in Georgetown, Indiana. It is located at 515 Maplewood Blvd, Georgetown, IN and its contact number is 502-767-9405. The authorized person for Total Spectrum Autism Services Llc is Katerrell Leon Kennedy
who is Ceo of the clinic and his/her contact number is 502-767-9405. The primary license number for Total Spectrum Autism Services Llc is 129006 (Clinical) in Kentucky.
Total Spectrum Autism Services Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Total Spectrum Autism Services Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Total Spectrum Autism Services Llc |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 515 Maplewood Blvd, Georgetown,
Indiana, 47122-9261 |
| Phone: | 502-767-9405 |
| Fax: | 812-727-5522 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Katerrell Leon Kennedy |
| Position: | Ceo |
| Contact Number: | 502-767-9405 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Total Spectrum Autism Services Llc clinic are as mentioned below.
| NPI Number: | 1932643590 |
| NPI Enumeration Date: | 15 Dec, 2016 |
| NPI Last Update On: | 15 Dec, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Total Spectrum Autism Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | 129006 | Kentucky | Primary | |
| Mental Health | 39002390A | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1235558628 | Other | Indiana | Commercial |
| 1013002443 | Other | Kentucky | Commercial |
| 1790917060 | Other | Indiana | Commercial |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Total Spectrum Autism Services Llc
515 Maplewood Blvd,
Georgetown, Indiana |
| Zip: | 47122-9261 |
| Phone Number: | 502-767-9405 |
| Fax Number: | 812-727-5522 |
Patients can reach Total Spectrum Autism Services Llc at
515 Maplewood Blvd, Georgetown, Indiana or can
call to book an appointment on 502-767-9405.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.