| The New Temple | |
|
8504 Standing Oak Dr Apt 4 Louisville KY 40258-1271 | |
| (502) 819-1631 | |
| Not Available |
| Full Name | The New Temple |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8504 Standing Oak Dr Apt 4, Louisville, Kentucky |
| Authorized Official Name and Position | Stephanie Gail Hall (BILLER/CREDENTIALER) |
| Authorized Official Contact | 5026502650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The New Temple 8504 Standing Oak Dr Apt 4 Louisville KY 40258-1271 Ph: (502) 819-1631 | The New Temple 8504 Standing Oak Dr Apt 4 Louisville KY 40258-1271 Ph: (502) 819-1631 |
| NPI Number | 1922818947 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922818947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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