MYSTYK RIVER RETREAT CENTER, LLC
NPI 1629236070
Specialist in Carrollton, KY
- Organization
- Specialist
About MYSTYK RIVER RETREAT CENTER, LLC
This page provides the complete NPI Profile along with additional information for Mystyk River Retreat Center, Llc, a provider established in Carrollton, Kentucky operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629236070 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Mystyk River Retreat Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Garnet Eleanor Worthington Lmt (Manager/co-owner)
- NPI
- 1629236070 Verify this NPI
- Provider Name
- MYSTYK RIVER RETREAT CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1732 KINGSRIDGE RD CARROLLTON, KY 41008
- Location Phone
- (502) 732-9938
- Location Fax
- (502) 732-9938
- Mailing Address
- 1732 KINGSRIDGE RD CARROLLTON, KY 41008
- Mailing Phone
- (502) 732-9938
- Mailing Fax
- (502) 732-9938
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2008
- Last Update Date
- 06-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629236070, enumerated as an "organization" on June 01, 2008.
The provider is located at 1732 KINGSRIDGE RD CARROLLTON, KY 41008 and the phone number is (502) 732-9938.
Specialist with taxonomy code 174400000X.
