# SAGE COUNSELING LLC

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

## Provider details

- **NPI number:** 1891371076
- **Authorized official:** NINA ROY (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (270) 585-4306

## Contact information

- **Practice address:** 8719 SHADOW CREEK WAY, LOUISVILLE, KY 40291-2750
- **Practice address phone:** (502) 215-3338
- **Mailing address:** 8719 SHADOW CREEK WAY, LOUISVILLE, KY 40291-2750
- **Mailing address phone:** (502) 215-3338

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 03/19/2021