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Organization
RECLAIM WELLNESS GROUP
Active
Organization
RECLAIM WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT STREET RUSSELL PSYD (CO-OWNER)
(502) 777-3188
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 600, LOUISVILLE, KY 40207-4883
(502) 758-9878
Mailing address
4010 DUPONT CIR STE 600, LOUISVILLE, KY 40207-4883
(502) 758-9878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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