Healthcare Provider Details

I. General information

NPI: 1346466372
Provider Name (Legal Business Name): VISUALLY IMPAIRED PRESCHOOLERS SERVICES OF GREATER LOUISVILLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 GOLDSMITH LN
LOUISVILLE KY
40218-2066
US

IV. Provider business mailing address

1906 GOLDSMITH LN
LOUISVILLE KY
40218-2066
US

V. Phone/Fax

Practice location:
  • Phone: 502-636-3207
  • Fax:
Mailing address:
  • Phone: 502-636-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateKY

VIII. Authorized Official

Name: MELINDA ATKINS
Title or Position: EDUCATION COORDINATOR
Credential: MED
Phone: 502-636-3207