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General NPI Number Information
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NPI Number | 1902761562
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Entity Type | Organization
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Legal Business Name | RENEWAL PATHWAY
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 3800 W MARKET ST
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City | LOUISVILLE
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State | KY
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Zip | 40212-2537
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Country | US
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Telephone | 502-609-0034
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Fax |
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Provider Business Mailing Address
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Address Line | 11900 BOYDTON CT
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City | LOUISVILLE
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State | KY
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Zip | 40245-1807
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Country | US
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Telephone | 502-609-0034
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DARLENE BELL TRANSITIONAL HO GUIN
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Credential |
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Telephone | 502-609-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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