| 1st Priority Healthcare Llc | |
|
4229 Bardstown Rd Ste 201 Louisville KY 40218-3286 | |
| (502) 286-6565 | |
| (502) 286-6565 |
| Full Name | 1st Priority Healthcare Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4229 Bardstown Rd Ste 201, Louisville, Kentucky |
| Authorized Official Name and Position | Seneca G Davidson (CEO) |
| Authorized Official Contact | 3364138765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Priority Healthcare Llc 1191 Salem Lake Rd Winston Salem NC 27107-1550 Ph: (336) 413-8765 | 1st Priority Healthcare Llc 4229 Bardstown Rd Ste 201 Louisville KY 40218-3286 Ph: (502) 286-6565 |
| NPI Number | 1386255131 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386255131 | NPI | - | NPPES |
| 7100695520 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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