| Helen Paris Foundation Llc | |
|
626 Harrison Ave Louisville KY 40217-1930 | |
| (502) 802-1662 | |
| Not Available |
| Full Name | Helen Paris Foundation Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 626 Harrison Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Nicole Yvette Ward (DIRECT OWNER) |
| Authorized Official Contact | 5028021662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helen Paris Foundation Llc 626 Harrison Ave Louisville KY 40217-1930 Ph: (502) 802-1662 | Helen Paris Foundation Llc 626 Harrison Ave Louisville KY 40217-1930 Ph: (502) 802-1662 |
| NPI Number | 1699250852 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Medicare PECOS PAC ID | 3274984653 |
|---|---|
| Medicare Enrollment ID | O20240110002088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699250852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Nicole Y Ward |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497178339 PECOS PAC ID: 1951752336 Enrollment ID: I20240110002406 |
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