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Organization
LOUISVILLE CENTER FOR THERAPY AND PERSONAL SUSTAINABILITY
Active
Organization
LOUISVILLE CENTER FOR THERAPY AND PERSONAL SUSTAINABILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTHONY FARSETTI MT-BC (MANAGING DIRECTOR)
(502) 418-2089
Entity
Organization
Contact information
Practice address
1974 DOUGLASS BLVD STE 8, LOUISVILLE, KY 40205-1826
(502) 694-0919
Mailing address
1010 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1854
(502) 418-2089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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