| Vivaria Counseling, Plc | |
|
1169 Eastern Pkwy Ste 1159 Louisville KY 40217-1462 | |
| (502) 272-4950 | |
| Not Available |
| Full Name | Vivaria Counseling, Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1169 Eastern Pkwy Ste 1159, Louisville, Kentucky |
| Authorized Official Name and Position | Erin R Riedel (OWNER) |
| Authorized Official Contact | 5022724950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivaria Counseling, Plc 3602 Kahlert Ave Louisville KY 40215-1815 Ph: (502) 418-9312 | Vivaria Counseling, Plc 1169 Eastern Pkwy Ste 1159 Louisville KY 40217-1462 Ph: (502) 272-4950 |
| NPI Number | 1326649542 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326649542 | NPI | - | NPPES |
| 7100363100 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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