| NPI | 1447973417 |
|---|---|
| Doing Business As | MINDIVE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVIS Owner 502-645-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 221700000X Art Therapist | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-08-07 |