| Pemberton Counseling Services, Psc | |
|
1700 Ups Dr Suite 107 Louisville KY 40223-4046 | |
| (502) 327-8045 | |
| Not Available |
| Full Name | Pemberton Counseling Services, Psc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1700 Ups Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Charles Pemberton (PRESIDENT) |
| Authorized Official Contact | 5023278045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemberton Counseling Services, Psc 1700 Ups Dr Suite 107 Louisville KY 40223-4046 Ph: (502) 327-8045 | Pemberton Counseling Services, Psc 1700 Ups Dr Suite 107 Louisville KY 40223-4046 Ph: (502) 327-8045 |
| NPI Number | 1205052784 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205052784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0549 (Kentucky) | Primary |
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