# STAFFORD COUNSELING AND CONSULTING

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

## Provider details

- **NPI number:** 1689499253
- **Authorized official:** KELLEY ELLEN STAFFORD LCSW (OWNER)
- **Authorized official phone:** (502) 260-0474

## Contact information

- **Practice address:** 2632 WENDELL AVE, LOUISVILLE, KY 40205-3138
- **Practice address phone:** (502) 260-0474
- **Mailing address:** 2240 TAYLORSVILLE RD \# 5284, LOUISVILLE, KY 40205-2146
- **Mailing address phone:** (502) 260-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 11/19/2024