MEDICARE: THE INNERVIEW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	KY-0549	KY

General Provider Information

NPI Number	:	1568538999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INNERVIEW, PLLC

Provider Business Mailing Address
First Line	:	4229 BARDSTOWN RD # 311
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-3241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4229 BARDSTOWN RD # 311
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-3241
Country	:	US
Telephone Number	:	502-499-8010
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL PARTNER
Name	:	MARK A PARRISH
Credential	:	M.ED., LMFT
Telephone Number	:	502-499-8010

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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