| Interwoven Wellness | |
|
1562 Bardstown Rd Louisville KY 40205-1155 | |
| (502) 451-6662 | |
| (502) 451-6665 |
| Full Name | Interwoven Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1562 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Mona Cattan-lewis (MEMBER MANAGER) |
| Authorized Official Contact | 5024516662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interwoven Wellness 1617 Eastern Pkwy Louisville KY 40204-1561 Ph: (502) 451-6662 | Interwoven Wellness 1562 Bardstown Rd Louisville KY 40205-1155 Ph: (502) 451-6662 |
| NPI Number | 1467517342 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467517342 | NPI | - | NPPES |
| 000000201848 | Other | KY | ANTHEM IW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | KY-1355 (Kentucky) | Primary |
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