| Louisville Stress & Trauma Center | |
|
7410 New Lagrange Rd Suite 204 Louisville KY 40222 | |
| (209) 743-2480 | |
| Not Available |
| Full Name | Louisville Stress & Trauma Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7410 New Lagrange Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Sumner Lagow (OWNER) |
| Authorized Official Contact | 2097432480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Stress & Trauma Center 7410 New Lagrange Rd Suite 204 Louisville KY 40222 Ph: (209) 743-2480 | Louisville Stress & Trauma Center 7410 New Lagrange Rd Suite 204 Louisville KY 40222 Ph: (209) 743-2480 |
| NPI Number | 1598436313 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598436313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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