Provider Demographics
NPI:1831657071
Name:WEE CAN AUTISM AND BEHAVIORAL CONSULTATION, LLC.
Entity Type:Organization
Organization Name:WEE CAN AUTISM AND BEHAVIORAL CONSULTATION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-353-5006
Mailing Address - Street 1:PO BOX 1630
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40476-1630
Mailing Address - Country:US
Mailing Address - Phone:606-416-9220
Mailing Address - Fax:
Practice Address - Street 1:830 EASTERN BYP STE A6
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2512
Practice Address - Country:US
Practice Address - Phone:606-416-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health