| Ohana Clinical Services, Pllc | |
|
8760 Park Laureate Dr Apt 114 Louisville KY 40220-7014 | |
| (502) 513-4449 | |
| Not Available |
| Full Name | Ohana Clinical Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8760 Park Laureate Dr Apt 114, Louisville, Kentucky |
| Authorized Official Name and Position | Karin Klein (OWNER/CLINICIAN) |
| Authorized Official Contact | 5025134449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Clinical Services, Pllc 8760 Park Laureate Dr Apt 114 Louisville KY 40220-7014 Ph: (502) 513-4449 | Ohana Clinical Services, Pllc 8760 Park Laureate Dr Apt 114 Louisville KY 40220-7014 Ph: (502) 513-4449 |
| NPI Number | 1396424891 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 9638518947 |
|---|---|
| Medicare Enrollment ID | O20240419001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396424891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karin Renee Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598281974 PECOS PAC ID: 4981055365 Enrollment ID: I20240110002154 |
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