MEDICARE: SHAWNA LEE HART

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker	252557	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	252557	OTHER	KY	LCSW

General Provider Information

NPI Number	:	1588217343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA LEE HART

Provider Business Mailing Address
First Line	:	1402A BROWNS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4609
Country	:	US
Telephone Number	:	502-894-0234
Fax Number	:	502-894-9858

Provider Business Practice Location Address
First Line	:	1402A BROWNS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4609
Country	:	US
Telephone Number	:	502-894-0234
Fax Number	:	502-894-9858

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

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	07/22/2019

Similar Medicare Providers

1851381800 — DR. GEORGE BERNARD HAARMAN PSY.D.
Practice Location Address:

1400B BROWNS LN
LOUISVILLE, KY
40207-4609

Practice Phone: 502-721-7522
Practice Fax: 502-721-7556

1932235363 — DR. JILL MARIE ZINNER MD
Practice Location Address:

1402 BROWNS LN
LOUISVILLE, KY
40207-4609

Practice Phone: 502-894-0234
Practice Fax:

1588874457 — DR. WILLIAM A SPENCER DMD
Practice Location Address:

1400 BROWNS LN , SUITE C
LOUISVILLE, KY
40207-4609

Practice Phone: 502-896-0036
Practice Fax: 502-896-2786

1871027854 — CENTER FOR BEHAVIORAL HEALTH KENTUCKY LLC
Practice Location Address:

1402A BROWNS LN
LOUISVILLE, KY
40207-4609

Practice Phone: 502-894-0234
Practice Fax:

1144888355 — MARK BRETCHING MILLER LMFT
Practice Location Address:

1402A BROWNS LN
LOUISVILLE, KY
40207-4609

Practice Phone: 502-894-0234
Practice Fax: 502-894-9858

1275185761 — LESLEY PAIGE MIDDLETON LCSW, LCADC
Practice Location Address:

1402A BROWNS LN
LOUISVILLE, KY
40207-4609

Practice Phone: 502-894-0234
Practice Fax:

Directions to “ SHAWNA LEE HART ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.