Healthcare Provider Details

I. General information

NPI: 1487940979
Provider Name (Legal Business Name): HMR ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 SAINT MATTHEWS AVE SUITE 10
LOUISVILLE KY
40207-3137
US

IV. Provider business mailing address

159 SAINT MATTHEWS AVE SUITE 10
LOUISVILLE KY
40207-3137
US

V. Phone/Fax

Practice location:
  • Phone: 502-899-3205
  • Fax: 502-899-1403
Mailing address:
  • Phone: 502-899-3205
  • Fax: 502-899-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number7100148080
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7100148080
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7100148080
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number7100148080
License Number StateKY
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number7100148080
License Number StateKY

VIII. Authorized Official

Name: MS. SUSAN B. STOKES
Title or Position: PRESIDENT
Credential:
Phone: 502-899-3205