| Ripe Minds, Llc | |
|
365 Little Bend Trce Shepherdsville KY 40165-6377 | |
| (502) 444-7473 | |
| (502) 669-8955 |
| Full Name | Ripe Minds, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 365 Little Bend Trce, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Erin Rice (OFFICE MANAGER) |
| Authorized Official Contact | 5024447473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ripe Minds, Llc 365 Little Bend Trce Shepherdsville KY 40165-6377 Ph: (502) 444-7473 | Ripe Minds, Llc 365 Little Bend Trce Shepherdsville KY 40165-6377 Ph: (502) 444-7473 |
| NPI Number | 1699546580 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1759727613 |
|---|---|
| Medicare Enrollment ID | O20240313003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699546580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Schroerlucke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598071474 PECOS PAC ID: 5890108286 Enrollment ID: I20201231001867 |
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