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General NPI Number Information
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NPI Number | 1255207973
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Entity Type | Organization
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Legal Business Name | LILY OF HOPE PSYCHIATRY SERVICES
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 1313 LYNDON LN
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City | LOUISVILLE
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State | KY
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Zip | 40222-7351
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Country | US
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Telephone | 502-208-7190
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Fax | 732-832-3732
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Provider Business Mailing Address
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Address Line | 3902 OLD BROWNSBORO HILLS RD
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City | LOUISVILLE
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State | KY
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Zip | 40241-1637
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Country | US
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Telephone | 216-548-7202
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YVONNE OWEN
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Credential | APRN, PMHNP-BC
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Telephone | 216-548-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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