Healthcare Provider Details

I. General information

NPI: 1457708729
Provider Name (Legal Business Name): JOANN ROWAN LPCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11509 REALITY TRL
LOUISVILLE KY
40229-2560
US

IV. Provider business mailing address

11509 REALITY TRL
LOUISVILLE KY
40229-2560
US

V. Phone/Fax

Practice location:
  • Phone: 502-454-7766
  • Fax:
Mailing address:
  • Phone: 502-454-7766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCCA00224155
License Number StateKY

VIII. Authorized Official

Name: JOANN ROWAN
Title or Position: OWNER
Credential:
Phone: 502-439-4414