# LILYHEART INTEGRATIVE COUNSELING & WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1891511648
- **Authorized official:** BARBARA JEANNE MARTIN LCSW (REGISTERED AGENT)
- **Authorized official phone:** (502) 536-9280

## Contact information

- **Practice address:** 608 INDIAN RIDGE RD, LOUISVILLE, KY 40207-1749
- **Practice address phone:** (502) 536-9280
- **Mailing address:** 608 INDIAN RIDGE RD, LOUISVILLE, KY 40207-1749
- **Mailing address phone:** (502) 536-9280

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2024
- **Last updated:** 01/14/2025