| Louisville Presbyterian Seminary | |
|
1044 Alta Vista Rd Louisville KY 40205-1758 | |
| (502) 992-9364 | |
| Not Available |
| Full Name | Louisville Presbyterian Seminary |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1044 Alta Vista Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Elizabeth Troy (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5029929364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Presbyterian Seminary 1044 Alta Vista Rd Louisville KY 40205-1758 Ph: (502) 992-9364 | Louisville Presbyterian Seminary 1044 Alta Vista Rd Louisville KY 40205-1758 Ph: (502) 992-9364 |
| NPI Number | 1306527841 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306527841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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