| Allison King, Lpcc, Llc | |
|
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
| (502) 822-6488 | |
| (502) 785-4003 |
| Full Name | Allison King, Lpcc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Allison King (THERAPIST/OWNER) |
| Authorized Official Contact | 5028226488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison King, Lpcc, Llc 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 822-6488 | Allison King, Lpcc, Llc 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 822-6488 |
| NPI Number | 1528670320 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 08/21/2020 |
| Certification Date | 08/21/2020 |
| Medicare PECOS PAC ID | 3375085111 |
|---|---|
| Medicare Enrollment ID | O20240607000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528670320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Allison King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922131358 PECOS PAC ID: 8527500370 Enrollment ID: I20240607001043 |
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