Intentional Increase Counseling Services | |
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
(502) 272-0199 | |
Not Available |
Full Name | Intentional Increase Counseling Services |
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Speciality | Social Worker |
Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
Authorized Official Name and Position | Sharonda Tunstull (OWNER) |
Authorized Official Contact | 5027164461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intentional Increase Counseling Services 5600 Greenbluff Rd Apt 202 Louisville KY 40219-2498 Ph: (502) 716-4461 | Intentional Increase Counseling Services 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 272-0199 |
NPI Number | 1750095279 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 09/02/2024 |
Certification Date | 09/02/2024 |
Medicare PECOS PAC ID | 9436524428 |
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Medicare Enrollment ID | O20230404002824 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750095279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Provider Name | Sharonda Tunstull |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437884012 PECOS PAC ID: 2466837588 Enrollment ID: I20220909001919 |
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