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General NPI Number Information
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NPI Number | 1467517342
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Entity Type | Organization
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Legal Business Name | MONA CATTAN-LEWIS LLC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1562 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40205-1155
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Country | US
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Telephone | 502-451-6662
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Fax | 502-451-6665
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Provider Business Mailing Address
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Address Line | 1617 EASTERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40204-1561
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Country | US
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Telephone | 502-451-6662
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Fax | 502-451-6665
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MONA CATTAN-LEWIS
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Credential | LCSW
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Telephone | 502-451-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY-1355
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License Number State | KY
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