Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EASTPOINT PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
EASTPOINT PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE HICKS PHD (MEMBER)
(502) 245-7258
Entity
Organization
Contact information
Practice address
13804 LAKE POINT CIRCLE,, SUITE 101, LOUISVILLE, KY 40223-4219
(502) 245-7258
(502) 245-7259
Mailing address
13804 LAKE POINT CIRCLE,, SUITE 101, LOUISVILLE, KY 40223-4219
(502) 245-7258
(502) 245-7259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/24/2010
Last updated
12/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers