MEDICARE: HMR ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103T00000X	Psychologist
3	1041C0700X	Clinical Social Worker
4	251C00000X	Developmentally Disabled Services Day Training Agency
5	251S00000X	Community/Behavioral Health Agency
6	251B00000X	Case Management Agency	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003894189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMR ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	159 SAINT MATTHEWS AVE STE 10
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-3137
Country	:	US
Telephone Number	:	502-899-3205
Fax Number	:	502-899-1403

Provider Business Practice Location Address
First Line	:	159 SAINT MATTHEWS AVE
Second Line	:	STE. 9
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-3137
Country	:	US
Telephone Number	:	502-899-3205
Fax Number	:	502-899-1403

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	SUSAN B. STOKES
Credential	:
Telephone Number	:	502-899-3205

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	06/09/2008

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Directions to “HMR ASSOCIATES, INC. ” Practice Location

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