Provider Demographics
NPI:1497431761
Name:ABRAMS, LORETTA ALICE (BA)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:ALICE
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 KASANDRA WAY
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1617
Mailing Address - Country:US
Mailing Address - Phone:859-585-2211
Mailing Address - Fax:
Practice Address - Street 1:271 W SHORT ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1272
Practice Address - Country:US
Practice Address - Phone:859-310-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)