| Bill Stanley And Associates, Inc. | |
|
1027 Baxter Ave Unit 1 Louisville KY 40204-1605 | |
| (502) 587-0711 | |
| (502) 587-0144 |
| Full Name | Bill Stanley And Associates, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1027 Baxter Ave, Louisville, Kentucky |
| Authorized Official Name and Position | William Robert Stanley (PRESIDENT) |
| Authorized Official Contact | 5025870711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Stanley And Associates, Inc. 1027 Baxter Ave Unit 1 Louisville KY 40204-1605 Ph: (502) 587-0711 | Bill Stanley And Associates, Inc. 1027 Baxter Ave Unit 1 Louisville KY 40204-1605 Ph: (502) 587-0711 |
| NPI Number | 1558544700 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 01/27/2009 |
| Medicare PECOS PAC ID | 9638234438 |
|---|---|
| Medicare Enrollment ID | O20090211000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558544700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 617 (Kentucky) | Primary |
| Provider Name | William R Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508909102 PECOS PAC ID: 6406876366 Enrollment ID: I20051207000040 |
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