Provider Demographics
NPI:1114974003
Name:REMEDY COUNSELING & MANAGEMENT, INC.
Entity Type:Organization
Organization Name:REMEDY COUNSELING & MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KINDER
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:859-433-3427
Mailing Address - Street 1:223 S MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1581
Mailing Address - Country:US
Mailing Address - Phone:859-879-3377
Mailing Address - Fax:859-879-8377
Practice Address - Street 1:223 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1581
Practice Address - Country:US
Practice Address - Phone:859-879-3377
Practice Address - Fax:859-879-8377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0999101Medicare ID - Type UnspecifiedPATRICK L. BURBA, M.D.
KY9991Medicare ID - Type UnspecifiedGROUP NUMBER