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SOUTHEAST PROFESSIONAL COUNSELING NPI 1881804466


NPI Information

NPI: 1881804466
Provider Name: SOUTHEAST PROFESSIONAL COUNSELING
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
920 BLANKENBAKER PKWY
LOUISVILLE, KY
ZIP 40243
Phone: (502) 253-8425
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SOUTHEAST PROFESSIONAL COUNSELING is a marriage family therapist in Louisville, KY. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SOUTHEAST PROFESSIONAL COUNSELING NPI is 1881804466. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

920 BLANKENBAKER PKWY
LOUISVILLE, KY
ZIP 40243-845
Phone: (502) 253-8425
Fax: (502) 253-8433

The provider's authorized official is Christopher Wood .
The authorized official title is Center Director and has the following contact phone number (502) 253-8425.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 11/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)KY-0620KENTUCKYNo
2106H00000XMarriage & Family TherapistKY-06-035KENTUCKYYes

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: 11/14/2023

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