| Abi-alternative Intervention Dba Abi Behavioral Health | |
|
104 Daventry Lane Louisville KY 40223-3845 | |
| (502) 425-7325 | |
| Not Available |
| Full Name | Abi-alternative Intervention Dba Abi Behavioral Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 Daventry Lane, Louisville, Kentucky |
| Authorized Official Name and Position | Deirdre Bianca Cummings (PRESIDENT/CEO) |
| Authorized Official Contact | 5024257325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abi-alternative Intervention Dba Abi Behavioral Health 104 Daventry Lane Louisville KY 40223-3845 Ph: (502) 425-7325 | Abi-alternative Intervention Dba Abi Behavioral Health 104 Daventry Lane Louisville KY 40223-3845 Ph: (502) 425-7325 |
| NPI Number | 1235551094 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235551094 | NPI | - | NPPES |
| 7100294190 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1347 (Kentucky) | Primary |
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