Provider Demographics
NPI:1306959945
Name:JOHN BOND COUNSELING, LLC
Entity type:Organization
Organization Name:JOHN BOND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LAFAYETTE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMFT, LMHC
Authorized Official - Phone:502-863-3003
Mailing Address - Street 1:210 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8790
Mailing Address - Country:US
Mailing Address - Phone:502-863-2027
Mailing Address - Fax:502-863-2027
Practice Address - Street 1:107 FRAZIER CT STE 2C
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9026
Practice Address - Country:US
Practice Address - Phone:502-863-3003
Practice Address - Fax:502-863-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0655251S00000X
KYKY-0880251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health