Healthcare Provider Details

I. General information

NPI: 1194689968
Provider Name (Legal Business Name): STRIKING CHANGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BARRET AVE STE 222
LOUISVILLE KY
40204-1733
US

IV. Provider business mailing address

4808 PADDOCK SPRINGS DR
LOUISVILLE KY
40299-3795
US

V. Phone/Fax

Practice location:
  • Phone: 502-314-7520
  • Fax:
Mailing address:
  • Phone: 502-314-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SONIA L JACKSON-SUGGS
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 502-314-7520