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Organization
HOUSE OF MIGHTY MEN OF VALOR
Active
Organization
HOUSE OF MIGHTY MEN OF VALOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA LAWRENCE (CREDENTIALING SPECIALIST)
(502) 656-2429
Entity
Organization
Contact information
Practice address
1634 GALLAGHER ST, LOUISVILLE, KY 40210-2435
(502) 269-9604
Mailing address
215 E ORMSBY AVE APT 5, LOUISVILLE, KY 40203-2639
(502) 269-9604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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