| East Louisville Counseling, Pllc | |
|
714 Lyndon Ln Suite 7 Louisville KY 40222-4643 | |
| (502) 592-8525 | |
| (502) 425-2540 |
| Full Name | East Louisville Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 714 Lyndon Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Kimberly Ann Maugans-smith (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5025928525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Louisville Counseling, Pllc 714 Lyndon Ln Suite 7 Louisville KY 40222-4643 Ph: (502) 592-8525 | East Louisville Counseling, Pllc 714 Lyndon Ln Suite 7 Louisville KY 40222-4643 Ph: (502) 592-8525 |
| NPI Number | 1396808069 |
|---|---|
| Provider Enumeration Date | 12/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396808069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1293 (Kentucky) | Primary |
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