SURYA MENTAL WELLNESS LLC NPI 1184208696

NPI Information

  • NPI: 1184208696
  • Provider Name: SURYA MENTAL WELLNESS LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Other Name: COLECTIVO SURYA MENTAL WELLNESS
  • Address: 1939 GOLDSMITH LN STE 260
    LOUISVILLE, KY
    ZIP 40218
  • Phone: (502) 519-7979

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NPI Details

SURYA MENTAL WELLNESS LLC is a professional counselor in Louisville, KY. SURYA MENTAL WELLNESS LLC NPI is 1184208696. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Colectivo Surya Mental Wellness.

The provider's business location address is:

1939 GOLDSMITH LN STE 260
LOUISVILLE, KY
ZIP 40218-174
Phone: (502) 519-7979
Fax: (502) 792-7274

The provider's authorized official is Norma Thomas .
The authorized official title is Bilingual Clinician and has the following contact phone number (502) 519-7979.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 11/14/2023.

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
1171R00000XInterpreterNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100756220MEDICAIDKENTUCKY

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: 11/21/2025

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