| Abundant Mercy Counseling | |
|
12700 Townepark Way Ste 337 Louisville KY 40243-2556 | |
| (502) 203-5901 | |
| Not Available |
| Full Name | Abundant Mercy Counseling |
|---|---|
| Speciality | Counselor |
| Location | 12700 Townepark Way Ste 337, Louisville, Kentucky |
| Authorized Official Name and Position | Misty Keith (OWNER) |
| Authorized Official Contact | 5022035901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Mercy Counseling 12700 Townepark Way Ste 337 Louisville KY 40243-2556 Ph: (502) 203-5901 | Abundant Mercy Counseling 12700 Townepark Way Ste 337 Louisville KY 40243-2556 Ph: (502) 203-5901 |
| NPI Number | 1194593707 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 01/21/2024 |
| Certification Date | 01/21/2024 |
| Medicare PECOS PAC ID | 8123465028 |
|---|---|
| Medicare Enrollment ID | O20240327003439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Misty R Keith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114541521 PECOS PAC ID: 3678910577 Enrollment ID: I20240327003572 |
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