# 7CC KY1

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

## Provider details

- **NPI number:** 1972466381
- **Authorized official:** REBECCA DONALDSON LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (502) 295-5326

## Contact information

- **Practice address:** 1905 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1018
- **Practice address phone:** (502) 295-5326
- **Mailing address:** 1905 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1018
- **Mailing address phone:** (502) 295-5326

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025