| The Promised Generation | |
|
9913 Shelbyville Rd Ste 103 Louisville KY 40223-2902 | |
| (502) 417-9799 | |
| Not Available |
| Full Name | The Promised Generation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9913 Shelbyville Rd Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Aileen M Bryant-wales (OWNER) |
| Authorized Official Contact | 5023845807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Promised Generation 9913 Shelbyville Rd Ste 103 Louisville KY 40223-2902 Ph: (502) 417-9799 | The Promised Generation 9913 Shelbyville Rd Ste 103 Louisville KY 40223-2902 Ph: (502) 417-9799 |
| NPI Number | 1144935271 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144935271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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