| Greater Louisville Counseling Center | |
|
332 W Broadway Ste 905 Louisville KY 40202-2133 | |
| (502) 587-9737 | |
| Not Available |
| Full Name | Greater Louisville Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 332 W Broadway Ste 905, Louisville, Kentucky |
| Authorized Official Name and Position | Keith Mckenzie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5025879737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Louisville Counseling Center 332 W Broadway Ste 905 Louisville KY 40202-2133 Ph: (502) 587-9737 | Greater Louisville Counseling Center 332 W Broadway Ste 905 Louisville KY 40202-2133 Ph: (502) 587-9737 |
| NPI Number | 1285043844 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285043844 | NPI | - | NPPES |
| 7100323580 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 810005 (Kentucky) | Primary |
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