Healthcare Provider Details

I. General information

NPI: 1508231762
Provider Name (Legal Business Name): STEVEN OCHS LCADC, CSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 DORSEY LN
LOUISVILLE KY
40223-2612
US

IV. Provider business mailing address

1015 DORSEY LN
LOUISVILLE KY
40223-2612
US

V. Phone/Fax

Practice location:
  • Phone: 502-245-1576
  • Fax:
Mailing address:
  • Phone: 502-245-1576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADCLAD00223236
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: