# INNOVATIVE FAMILY THERAPY

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

## Provider details

- **NPI number:** 1740769900
- **Authorized official:** MRS. CHELSEY LAYNE GORHAM MSC, LMFT, GC-C (OWNER AND THERAPIST)
- **Authorized official phone:** (502) 612-9129

## Contact information

- **Practice address:** 13121 EASTPOINT PARK BLVD STE F, LOUISVILLE, KY 40223-4192
- **Practice address phone:** (502) 612-9129
- **Mailing address:** 13121 EASTPOINT PARK BLVD STE F, LOUISVILLE, KY 40223-4192
- **Mailing address phone:** (502) 612-9129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2018
- **Last updated:** 12/17/2024