| Family Therapy Of Louisville, Llc | |
|
161 Saint Matthews Ave Suite 18 Louisville KY 40207-3145 | |
| (502) 380-6411 | |
| (502) 290-6800 |
| Full Name | Family Therapy Of Louisville, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 161 Saint Matthews Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Jennifer Curry Hoertz (OWNER) |
| Authorized Official Contact | 5022620171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Of Louisville, Llc 431 Country Ln Louisville KY 40207-1803 Ph: (502) 380-6411 | Family Therapy Of Louisville, Llc 161 Saint Matthews Ave Suite 18 Louisville KY 40207-3145 Ph: (502) 380-6411 |
| NPI Number | 1992164925 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 03/16/2016 |
| Medicare PECOS PAC ID | 0042625881 |
|---|---|
| Medicare Enrollment ID | O20210209001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992164925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3712 (Kentucky) | Primary |
| Provider Name | Jennifer Curry Hoertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114346376 PECOS PAC ID: 4587079330 Enrollment ID: I20210209001700 |
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