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General NPI Number Information
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NPI Number | 1922490135
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Entity Type | Individual
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Provider Name | EILEEN O'NEILL ESTES PH.D, , LPAT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8134 NEW LA GRANGE RD STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40222-4677
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Country | US
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Telephone | 502-472-7293
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Fax | 502-690-4500
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Provider Business Mailing Address
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Address Line | 1207 PHEASANT RDG
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City | GOSHEN
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State | KY
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Zip | 40026-9522
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Country | US
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Telephone | 502-762-5370
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | KY
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 114604
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License Number State | KY
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