| Evolve Lou Counseling | |
|
1309 Cecil Ave Louisville KY 40211-2418 | |
| (502) 416-8060 | |
| Not Available |
| Full Name | Evolve Lou Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1309 Cecil Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Nefertia Y Mason (PRINCIPAL THERAPIST) |
| Authorized Official Contact | 5024168060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Lou Counseling 1309 Cecil Ave Louisville KY 40211-2418 Ph: (502) 416-8060 | Evolve Lou Counseling 1309 Cecil Ave Louisville KY 40211-2418 Ph: (502) 416-8060 |
| NPI Number | 1568069326 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568069326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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