| NPI | 1255123915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEEKA LEWIS Program Director 502-702-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2026-07-21 |