LOUISVILLE CENTER FOR EATING DISORDERS LLC NPI 1982197737

NPI Information

NPI: 1982197737
Provider Name: LOUISVILLE CENTER FOR EATING DISORDERS LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
11824 RANSUM DR # 200
LOUISVILLE, KY
ZIP 40243
Phone: (502) 338-0608
Get Directions

LOUISVILLE CENTER FOR EATING DISORDERS LLC is an adult mental health clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LOUISVILLE CENTER FOR EATING DISORDERS LLC NPI is 1982197737. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11824 RANSUM DR # 200
LOUISVILLE, KY
ZIP 40243-802
Phone: (502) 338-0608
Fax: (502) 245-1888

The provider's authorized official is Justin Brent Wallen .
The authorized official title is Business Manager and has the following contact phone number (502) 319-3105.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist				No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »