| Cdstherapeuticcounselingcms@gmail.com | |
|
4726 Van Hoose Rd Louisville KY 40216-2951 | |
| (502) 767-6220 | |
| Not Available |
| Full Name | Cdstherapeuticcounselingcms@gmail.com |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4726 Van Hoose Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Carla Ann Delong (FOUNDER) |
| Authorized Official Contact | 5024179505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdstherapeuticcounselingcms@gmail.com 1213 Ormsby Ln Louisville KY 40222-3862 Ph: (502) 417-9505 | Cdstherapeuticcounselingcms@gmail.com 4726 Van Hoose Rd Louisville KY 40216-2951 Ph: (502) 767-6220 |
| NPI Number | 1578349841 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578349841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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