Healthcare Provider Details

I. General information

NPI: 1588377568
Provider Name (Legal Business Name): 2NOT1: FATHERHOOD & FAMILIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W SAINT CATHERINE ST
LOUISVILLE KY
40210-2442
US

IV. Provider business mailing address

PO BOX 2791
LOUISVILLE KY
40201-2791
US

V. Phone/Fax

Practice location:
  • Phone: 502-509-9637
  • Fax:
Mailing address:
  • Phone: 502-509-9637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. GEORGIA ANNETTE TURNER
Title or Position: CHIEF OPERATING OFFICER
Credential: ED.D
Phone: 502-509-9637