Healthcare Provider Details

I. General information

NPI: 1780090829
Provider Name (Legal Business Name): MRS. CHRISTINA SCHWINDEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HOPE ST
MT WASHINGTON KY
40047-7757
US

IV. Provider business mailing address

266 LONDON SQ
MT WASHINGTON KY
40047-6901
US

V. Phone/Fax

Practice location:
  • Phone: 502-538-1200
  • Fax:
Mailing address:
  • Phone: 502-594-6346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number167052
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: