Transformative Justice Mental Health Clinic | |
225 N Clifton Ave Ste 6 Louisville KY 40206-2438 | |
(502) 496-4928 | |
Not Available |
Full Name | Transformative Justice Mental Health Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 225 N Clifton Ave Ste 6, Louisville, Kentucky |
Authorized Official Name and Position | Ida Dickie (OWNER) |
Authorized Official Contact | 5024574750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Transformative Justice Mental Health Clinic 225 N Clifton Ave Ste 6 Louisville KY 40206-2438 Ph: () - | Transformative Justice Mental Health Clinic 225 N Clifton Ave Ste 6 Louisville KY 40206-2438 Ph: (502) 496-4928 |
NPI Number | 1205534062 |
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Provider Enumeration Date | 02/21/2023 |
Last Update Date | 02/21/2023 |
Certification Date | 02/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205534062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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