Healthcare Provider Details

I. General information

NPI: 1902761562
Provider Name (Legal Business Name): RENEWAL PATHWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W MARKET ST
LOUISVILLE KY
40212-2537
US

IV. Provider business mailing address

11900 BOYDTON CT
LOUISVILLE KY
40245-1807
US

V. Phone/Fax

Practice location:
  • Phone: 502-609-0034
  • Fax:
Mailing address:
  • Phone: 502-609-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. DARLENE BELL TRANSITIONAL HO GUIN
Title or Position: DIRECTOR
Credential:
Phone: 502-609-0034