Healthcare Provider Details

I. General information

NPI: 1619656907
Provider Name (Legal Business Name): ELAINA BARNETT LPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8134 NEW LA GRANGE RD STE 100
LOUISVILLE KY
40222-4677
US

IV. Provider business mailing address

8134 NEW LA GRANGE RD STE 100
LOUISVILLE KY
40222-4677
US

V. Phone/Fax

Practice location:
  • Phone: 502-472-7293
  • Fax: 502-690-4500
Mailing address:
  • Phone: 502-472-7293
  • Fax: 502-690-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number286243
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: