# EXODUS SCHOLAR HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265202154
- **Authorized official:** MISS MONYALLE SWAIN (CEO)
- **Authorized official phone:** (502) 544-5912

## Contact information

- **Practice address:** 2617 W BROADWAY, LOUISVILLE, KY 40211-1332
- **Practice address phone:** (502) 544-5912
- **Practice address fax:** (502) 333-0906
- **Mailing address:** 2617 W BROADWAY, LOUISVILLE, KY 40211-1332
- **Mailing address phone:** (502) 544-5912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 01/05/2024