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Organization
BLACK BUTTERFLY GROWTH CENTER, LLC
Active
Organization
BLACK BUTTERFLY GROWTH CENTER, LLC
Active
Other names
Black Butterfly Growth Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRANIECE MARIE DUNCAN APRN (OWNER)
(502) 500-2875
Entity
Organization
Contact information
Practice address
1017 BAXTER AVE STE 1, LOUISVILLE, KY 40204-1605
(502) 500-2875
Mailing address
1017 BAXTER AVE STE 1, LOUISVILLE, KY 40204-1605
(502) 500-2875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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