Provider Demographics
NPI:1033691035
Name:THIN LINE COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:THIN LINE COUNSELING AND CONSULTING, LLC
Other - Org Name:THIN LINE COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:859-429-7015
Mailing Address - Street 1:228 E REYNOLDS RD STE B6
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-1279
Mailing Address - Country:US
Mailing Address - Phone:800-464-1958
Mailing Address - Fax:
Practice Address - Street 1:228 E REYNOLDS RD STE B6
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1279
Practice Address - Country:US
Practice Address - Phone:800-464-1958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty