Provider Demographics
NPI:1043852619
Name:REMNANT COUNSELING CENTER
Entity Type:Organization
Organization Name:REMNANT COUNSELING CENTER
Other - Org Name:THE CHAMPION THERAPY CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-309-5923
Mailing Address - Street 1:1125 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3815
Mailing Address - Country:US
Mailing Address - Phone:859-309-5923
Mailing Address - Fax:
Practice Address - Street 1:1125 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3815
Practice Address - Country:US
Practice Address - Phone:859-309-5923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)