| NPI | 1457238610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH LEINS Owner 502-341-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-21 |