# MARY LYNN THIENEMAN

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

## Provider details

- **NPI number:** 1538340690
- **Authorized official:** MRS. MARY LYNN THIENEMAN LCSW, LMFT (OWNER)
- **Authorized official phone:** (502) 644-5433

## Contact information

- **Practice address:** 8521 LAGRANGE RD, LOUISVILLE, KY 40242-3800
- **Practice address phone:** (502) 644-5433
- **Practice address fax:** (502) 814-3745
- **Mailing address:** POST OFFICE BOX 22816, LOUISVILLE, KY 40252-0816
- **Mailing address phone:** (502) 644-5433
- **Mailing address fax:** (502) 814-3745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0885 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/16/2007