# STL BEHAVIORAL HEALTH INDIVIDUAL & FAMILY SERVICES

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

## Provider details

- **NPI number:** 1750022265
- **Authorized official:** MS. STACEY BAKER (MANAGER)
- **Authorized official phone:** (502) 387-7198

## Contact information

- **Practice address:** 2210 GOLDSMITH LN STE 116C, LOUISVILLE, KY 40218-1038
- **Practice address phone:** (502) 387-7198
- **Mailing address:** PO BOX 16851, LOUISVILLE, KY 40256-0851
- **Mailing address phone:** (502) 387-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 08/01/2022