is a Addiction (substance Use Disorder) in Louisville, Kentucky. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1578675740. The last update date is .
's current location address is 2303 Hurstbourne Village Dr Ste 1100, Louisville, Kentucky. You can contact this provider via phone number 5024942929 and fax number 5022677686. The mailing address for is 2303 Hurstbourne Village Dr Ste 1100, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 2303 Hurstbourne Village Dr Ste 1100, Louisville, Kentucky |
Phone Number | 5024942929 |
Fax Number | 5022677686 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1578675740 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2303 Hurstbourne Village Dr Ste 1100 |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402991830 |
Phone Number | 5024942929 |
Fax Number | 5022677686 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 443 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
443 | KY | ALCOHOL & DRUG COUNSELOR | |
209 | KY | LMFT |
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