| The Morton Center, Inc. | |
|
1028 Barret Ave Louisville KY 40204-1667 | |
| (502) 451-1221 | |
| (502) 451-1337 |
| Full Name | The Morton Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1028 Barret Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Priscilla Mcintosh (CEO) |
| Authorized Official Contact | 5024511221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Morton Center, Inc. 1028 Barret Ave Louisville KY 40204-1667 Ph: (502) 451-1221 | The Morton Center, Inc. 1028 Barret Ave Louisville KY 40204-1667 Ph: (502) 451-1221 |
| NPI Number | 1528180064 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Medicare PECOS PAC ID | 6305272279 |
|---|---|
| Medicare Enrollment ID | O20200212002797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528180064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 810091 (Kentucky) | Primary |
| Provider Name | Ashley Vanessa Peak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063552677 PECOS PAC ID: 7810052701 Enrollment ID: I20090209000570 |
| Provider Name | Tiffany D Cole Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194884163 PECOS PAC ID: 5799130548 Enrollment ID: I20231013001186 |
| Provider Name | Lori Friestrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194906347 PECOS PAC ID: 2769820505 Enrollment ID: I20240329001076 |
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