| Sublime Healing | |
|
8134 New La Grange Rd Ste 228 Louisville KY 40222-4678 | |
| (502) 408-5677 | |
| Not Available |
| Full Name | Sublime Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8134 New La Grange Rd Ste 228, Louisville, Kentucky |
| Authorized Official Name and Position | Kandace M Barkham (OWNER) |
| Authorized Official Contact | 5024085567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublime Healing 7549 Manslick Rd Louisville KY 40214-4182 Ph: (502) 408-5567 | Sublime Healing 8134 New La Grange Rd Ste 228 Louisville KY 40222-4678 Ph: (502) 408-5677 |
| NPI Number | 1811741887 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811741887 | NPI | - | NPPES |
| 7100914830 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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