Healthcare Provider Details

I. General information

NPI: 1003894189
Provider Name (Legal Business Name): HMR ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 SAINT MATTHEWS AVE STE. 9
LOUISVILLE KY
40207-3137
US

IV. Provider business mailing address

159 SAINT MATTHEWS AVE STE 10
LOUISVILLE KY
40207-3137
US

V. Phone/Fax

Practice location:
  • Phone: 502-899-3205
  • Fax: 502-899-1403
Mailing address:
  • Phone: 502-899-3205
  • Fax: 502-899-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKY

VIII. Authorized Official

Name: SUSAN B. STOKES
Title or Position: OWNER PRESIDENT
Credential:
Phone: 502-899-3205