Healthcare Provider Details

I. General information

NPI: 1649638719
Provider Name (Legal Business Name): JOANN ROWAN M.ED, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 DUPONT CIR STE 484B
LOUISVILLE KY
40207-4812
US

IV. Provider business mailing address

11509 REALITY TRL
LOUISVILLE KY
40229-2560
US

V. Phone/Fax

Practice location:
  • Phone: 502-439-4414
  • Fax:
Mailing address:
  • Phone: 502-439-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberLPCCA00224155
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number272956
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: