Susan Annette Wilson in Louisville - Addiction (substance Use Disorder)
Susan Annette Wilson - NPI 1770560401
Susan Annette Wilson is a Addiction (substance Use Disorder) in Louisville, Kentucky. Susan Annette Wilson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Susan Annette Wilson is 1770560401. The last update date is 2014-09-15.
Susan Annette Wilson's current location address is 3715 Bardstown Road, Suite 415, Louisville, Kentucky. You can contact this provider via phone number 5026390152. The mailing address for Susan Annette Wilson is 3715 Bardstown Road, Suite 415, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Annette Wilson |
|---|---|
| Address | 3715 Bardstown Road, Suite 415, Louisville, Kentucky |
| Phone Number | 5026390152 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.ED |
NPI Number Detail
| NPI Number | 1770560401 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
| Address | 3715 Bardstown Road, Suite 415 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40218 |
| Phone Number | 5026390152 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | KY-1002 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Susan Annette Wilson by the Centers for Medicare & Medicaid Services?
The Susan Annette Wilson has been issued the NPI (National Provider Identifier) 1770560401 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan Annette Wilson located?
The Susan Annette Wilson is located at 3715 Bardstown Road, Suite 415, Louisville, KY 40218.
What is Susan Annette Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Annette Wilson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770560401 to Susan Annette Wilson?
The Centers for Medicare & Medicaid Services assigned the 1770560401 to Susan Annette Wilson on 2005-12-23.
When was the information pertaining to Susan Annette Wilson most recently updated or revised?
The details related to Susan Annette Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-15.