Provider Demographics
NPI:1508214677
Name:ATWOOD, AARON (LPCC, A-BIP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:ATWOOD
Suffix:
Gender:M
Credentials:LPCC, A-BIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CLIFTY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1710
Mailing Address - Country:US
Mailing Address - Phone:606-678-0026
Mailing Address - Fax:606-678-0047
Practice Address - Street 1:600 CLIFTY ST STE 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-1710
Practice Address - Country:US
Practice Address - Phone:606-678-0026
Practice Address - Fax:606-678-0047
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY241972101Y00000X
171M00000X
KY268611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator