| Stephclemm Art Therapy Llc | |
|
214 Breckenridge Ln Ste 203 Louisville KY 40207-3879 | |
| (502) 200-9836 | |
| Not Available |
| Full Name | Stephclemm Art Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 214 Breckenridge Ln Ste 203, Louisville, Kentucky |
| Authorized Official Name and Position | Stephanie Jo Clemmons (OWNER) |
| Authorized Official Contact | 5022914094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephclemm Art Therapy Llc 3917 Hycliffe Ave Louisville KY 40207-3838 Ph: (502) 291-4094 | Stephclemm Art Therapy Llc 214 Breckenridge Ln Ste 203 Louisville KY 40207-3879 Ph: (502) 200-9836 |
| NPI Number | 1619693215 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619693215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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