Healthcare Provider Details

I. General information

NPI: 1922490135
Provider Name (Legal Business Name): EILEEN O'NEILL ESTES PH.D, , LPAT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. EILEEN MARIE O'NEILL

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8134 NEW LA GRANGE RD STE 100
LOUISVILLE KY
40222-4677
US

IV. Provider business mailing address

1207 PHEASANT RDG
GOSHEN KY
40026-9522
US

V. Phone/Fax

Practice location:
  • Phone: 502-472-7293
  • Fax: 502-690-4500
Mailing address:
  • Phone: 502-762-5370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number114604
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: