Healthcare Provider Details

I. General information

NPI: 1548682784
Provider Name (Legal Business Name): HARDIN COUNCELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 BISHOP LN 1015
LOUISVILLE KY
40218-1922
US

IV. Provider business mailing address

1941 BISHOP LN 1015
LOUISVILLE KY
40218-1922
US

V. Phone/Fax

Practice location:
  • Phone: 502-386-3168
  • Fax:
Mailing address:
  • Phone: 502-386-3168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3836
License Number StateKY

VIII. Authorized Official

Name: STEVE LOWERY
Title or Position: MANAGER
Credential:
Phone: 502-649-6414