MEDICARE: MS. LUANN THURMAN LCSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	774	KY

General Provider Information

NPI Number	:	1538197249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LUANN THURMAN LCSW

Provider Business Mailing Address
First Line	:	9302 NEW LAGRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40242-3652
Country	:	US
Telephone Number	:	502-594-9599
Fax Number	:	502-326-3012

Provider Business Practice Location Address
First Line	:	9302 NEW LAGRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40242-3652
Country	:	US
Telephone Number	:	502-594-9599
Fax Number	:	502-326-3012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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