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General NPI Number Information
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NPI Number | 1922492230
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Entity Type | Organization
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Legal Business Name | ATHENA HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2515 7TH STREET RD
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City | LOUISVILLE
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State | KY
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Zip | 40208-1070
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Country | US
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Telephone | 502-425-7659
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Fax | 502-425-7658
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Provider Business Mailing Address
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Address Line | 2515 7TH STREET RD
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City | LOUISVILLE
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State | KY
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Zip | 40208-1070
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Country | US
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Telephone | 502-618-0321
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Fax | 502-618-0319
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Authorized Official
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Title or Position | IRECTOR
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Name | ANGELETE MORELAND
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Credential |
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Telephone | 502-804-8003
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3005483
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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