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General NPI Number Information
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NPI Number | 1962578088
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY ASSISTANCE, INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 159 SAINT MATTHEWS AVE SUITE 10
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City | LOUISVILLE
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State | KY
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Zip | 40207-3137
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Country | US
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Telephone | 502-899-7105
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Fax | 502-899-1403
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Provider Business Mailing Address
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Address Line | 159 SAINT MATTHEWS AVE SUITE 10
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City | LOUISVILLE
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State | KY
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Zip | 40207-3137
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Country | US
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Telephone | 502-899-7105
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Fax | 502-899-1403
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SUSAN B STOKES
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Credential |
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Telephone | 502-899-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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 #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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