# EAST LOUISVILLE COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1396808069
- **Authorized official:** KIMBERLY ANN MAUGANS-SMITH LCSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (502) 592-8525

## Contact information

- **Practice address:** 714 LYNDON LN, SUITE 7, LOUISVILLE, KY 40222-4643
- **Practice address phone:** (502) 592-8525
- **Practice address fax:** (502) 425-2540
- **Mailing address:** 714 LYNDON LN, SUITE 7, LOUISVILLE, KY 40222-4643
- **Mailing address phone:** (502) 592-8525
- **Mailing address fax:** (502) 425-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1293 | KY | Yes |

## Other

- **Enumeration date:** 12/17/2006
- **Last updated:** 08/22/2020