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General NPI Number Information
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NPI Number | 1669241873
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Entity Type | Organization
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Legal Business Name | A VISION FOR YOU INC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1675 STORY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1739
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Country | US
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Telephone | 502-749-6344
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 STORY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1739
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Country | US
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Telephone | 502-749-6344
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & EXECUTIVE DIRECTOR
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Name | MR. JOHNATHAN LUCAS BENNETT
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Credential | CADCA I
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Telephone | 502-749-6344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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