# MINDIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mindive
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447973417
- **Authorized official:** CHRISTOPHER DAVIS (OWNER)
- **Authorized official phone:** (502) 645-6026

## Contact information

- **Practice address:** 119 S. SHERRIN AVE, STE 240, LOUISVILLE, KY 40207-3237
- **Practice address phone:** (502) 509-6002
- **Practice address fax:** (502) 415-7263
- **Mailing address:** 119 S. SHERRIN AVE, STE 240, LOUISVILLE, KY 40207-3237
- **Mailing address phone:** (502) 645-6026
- **Mailing address fax:** (502) 415-7263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 221700000X | Art Therapist | — | NULL | — |
| 221700000X | Art Therapist | — | — | — |

## Other

- **Enumeration date:** 09/23/2022
- **Last updated:** 08/07/2025