The Zen Den, Llc | |
4211 Poplar Level Rd Ste 101 Louisville KY 40213-1527 | |
(502) 805-1121 | |
Not Available |
Full Name | The Zen Den, Llc |
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Speciality | Social Worker |
Location | 4211 Poplar Level Rd Ste 101, Louisville, Kentucky |
Authorized Official Name and Position | Steffany Knauer (OWNER) |
Authorized Official Contact | 5025531236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Zen Den, Llc 4211 Poplar Level Rd Ste 101 Louisville KY 40213-1527 Ph: (502) 805-1121 | The Zen Den, Llc 4211 Poplar Level Rd Ste 101 Louisville KY 40213-1527 Ph: (502) 805-1121 |
NPI Number | 1013505387 |
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Provider Enumeration Date | 01/04/2021 |
Last Update Date | 01/04/2021 |
Certification Date | 01/04/2021 |
Medicare PECOS PAC ID | 3678977980 |
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Medicare Enrollment ID | O20210809003547 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013505387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Steffany Knauer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588930341 PECOS PAC ID: 0143653493 Enrollment ID: I20191127001846 |
Provider Name | Kathryn Fischer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467086744 PECOS PAC ID: 1951729888 Enrollment ID: I20200909002876 |
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