Healthcare Provider Details

I. General information

NPI: 1437138682
Provider Name (Legal Business Name): MICHAEL MCFARLAND LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 WESTPORT RD
LOUISVILLE KY
40207-2462
US

IV. Provider business mailing address

203 S MADISON AVE
LOUISVILLE KY
40243-1361
US

V. Phone/Fax

Practice location:
  • Phone: 502-544-7663
  • Fax: 253-299-2528
Mailing address:
  • Phone: 502-544-7663
  • Fax: 253-299-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0600
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: