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NPI Code Detail

MEDICARE: AVIS S FLEMING LMFT

MEDICARE: AVIS S FLEMING LMFT
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
1106H00000XMarriage & Family Therapist308164KY

General Provider Information

NPI Number : 1659686756
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIS S FLEMING LMFT
Provider Business Mailing Address
First Line : 10401 LINN STATION RD STE 100
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3842
Country : US
Telephone Number : 502-589-8600
Fax Number :
Provider Business Practice Location Address
First Line : 2141 SPENCER CT
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-6742
Country : US
Telephone Number : 502-589-8600
Fax Number : 502-589-8771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 06/09/2026

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Directions to “ AVIS S FLEMING LMFT” Practice Location

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