| Perinatal Princess | |
|
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
| (502) 208-9294 | |
| Not Available |
| Full Name | Perinatal Princess |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Shemika Leshia Whiteside (OWNER) |
| Authorized Official Contact | 5022089294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perinatal Princess 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 208-9294 | Perinatal Princess 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 208-9294 |
| NPI Number | 1891559712 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891559712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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