Healthcare Provider Details

I. General information

NPI: 1841167327
Provider Name (Legal Business Name): HEART OF GOLD WELLNESS &SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8302 MILLINGTON CT
LOUISVILLE KY
40228-2350
US

IV. Provider business mailing address

8302 MILLINGTON CT
LOUISVILLE KY
40228-2350
US

V. Phone/Fax

Practice location:
  • Phone: 502-298-5776
  • Fax:
Mailing address:
  • Phone: 502-298-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MISS LEAH YOUNG
Title or Position: OWN/ ADMINISTRATOR
Credential:
Phone: 502-298-5776