| NPI | 1255123915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEEKA LEWIS Program Director 502-963-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2026-06-30 |