| Epiphany Psychiatric Services Llc | |
|
711 Brendon Hills Pl Louisville KY 40245-5718 | |
| (313) 408-1905 | |
| Not Available |
| Full Name | Epiphany Psychiatric Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 Brendon Hills Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (CREDENTIALING ADMIN) |
| Authorized Official Contact | 5026302036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Psychiatric Services Llc 711 Brendon Hills Pl Louisville KY 40245-5718 Ph: (313) 408-1905 | Epiphany Psychiatric Services Llc 711 Brendon Hills Pl Louisville KY 40245-5718 Ph: (313) 408-1905 |
| NPI Number | 1992492276 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992492276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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