| Shelby Counseling Associates, Psc | |
|
12701 Townepark Way Barkley Bldg Ste 200 Louisville KY 40243-2387 | |
| (502) 254-8880 | |
| (502) 254-8870 |
| Full Name | Shelby Counseling Associates, Psc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12701 Townepark Way, Louisville, Kentucky |
| Authorized Official Name and Position | Nichole Jeanine Broyles (OFFICE MANAGER) |
| Authorized Official Contact | 5022548880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Counseling Associates, Psc 12701 Townepark Way Barkley Bldg Ste 200 Louisville KY 40243-2387 Ph: (502) 254-8880 | Shelby Counseling Associates, Psc 12701 Townepark Way Barkley Bldg Ste 200 Louisville KY 40243-2387 Ph: (502) 254-8880 |
| NPI Number | 1992991855 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992991855 | NPI | - | NPPES |
| 000000332447 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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