| Bell Tower Recovery Services Llc | |
|
516 W Breckinridge St Louisville KY 40203-2128 | |
| (502) 235-9534 | |
| (502) 324-3134 |
| Full Name | Bell Tower Recovery Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 516 W Breckinridge St, Louisville, Kentucky |
| Authorized Official Name and Position | Steven Mitchell (CREDENTIALING AGENT) |
| Authorized Official Contact | 5026543927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bell Tower Recovery Services Llc 516 W Breckinridge St Louisville KY 40203-2128 Ph: (502) 235-9534 | Bell Tower Recovery Services Llc 516 W Breckinridge St Louisville KY 40203-2128 Ph: (502) 235-9534 |
| NPI Number | 1174284913 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174284913 | NPI | - | NPPES |
| 7100789220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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