Lively, William Robert

Lively, William Robert is an sole proprietor health care provider with primary practice located at 712 Sunrise Ln , Elizabethtown KY 42701-2135. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Lively, William Robert can be contacted via phone (270) 769-9150.

Contact Information

Primary practice address
712 Sunrise Ln Elizabethtown KY 42701-2135
Phone: (270) 769-9150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X KY-0572 Kentucky

Profile Details

NPI number 1912169483
LBN Legal business name Lively, William Robert
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 17 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 1912169483 NPPES
Kentucky Other KY-0572 LMFT

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