NEW LEAF CLINIC NPI 1659884872

NPI Information

NEW LEAF CLINIC 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. NEW LEAF CLINIC NPI is 1659884872. The provider is registered as an organization entity type.

The provider's business location address is:

2910 W JEFFERSON ST
LOUISVILLE, KY
ZIP 40212
Phone: (502) 435-8321

The provider's authorized official is Teresa Walker .
The authorized official title is Psychiatrist/ceo and has the following contact phone number (502) 851-3556.

The CLIA number assigned to this NPI record is 18D2149186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 6/22/2018.

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:

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