Liddick, Brianne K

Liddick, Brianne K is an individual health care provider with primary practice located at 324 Southview Dr , Nicholasville KY 40356-2008. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Liddick, Brianne K can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
324 Southview Dr Nicholasville KY 40356-2008
Fax: (859) 254-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 07-008 Kentucky

Profile Details

NPI number 1124233705
LBN Legal business name Liddick, Brianne K
Credentials MFTA
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124233705 NPPES
Kentucky MEDICAID 30615058

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