| Path To Recovery, Llc | |
|
10219 Riverstone Cir Louisville KY 40229-5228 | |
| (502) 322-7071 | |
| Not Available |
| Full Name | Path To Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10219 Riverstone Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Alexis N Crook (CO-OWNER) |
| Authorized Official Contact | 5023227071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Recovery, Llc 10219 Riverstone Cir Louisville KY 40229-5228 Ph: (502) 322-7071 | Path To Recovery, Llc 10219 Riverstone Cir Louisville KY 40229-5228 Ph: (502) 322-7071 |
| NPI Number | 1881333136 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881333136 | NPI | - | NPPES |
| 7100821640 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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