# MDC2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restoration House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346431335
- **Authorized official:** MRS. MARYDORA CONLEY LMFT/LCSW (CLINICAL PARTNER)
- **Authorized official phone:** (502) 618-1201

## Contact information

- **Practice address:** 9319 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1737
- **Practice address phone:** (502) 618-1201
- **Practice address fax:** (502) 618-2609
- **Mailing address:** 9319 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1737
- **Mailing address phone:** (502) 618-1201
- **Mailing address fax:** (502) 618-2609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1966 | KY | Yes |
| 106H00000X | Marriage & Family Therapist | 0575 | KY | — |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 12/23/2009