# LIL CUTIA ENTERPRISES, LLC

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

## Provider details

- **NPI number:** 1982458311
- **Authorized official:** STEPHANIE GAIL HALL (CREDENTIALING AGENT)
- **Authorized official phone:** (502) 774-0671

## Contact information

- **Practice address:** 1347 S 3RD ST STE 204, LOUISVILLE, KY 40208-2344
- **Practice address phone:** (502) 640-6137
- **Practice address fax:** (502) 237-4092
- **Mailing address:** 1347 S 3RD ST STE 204, LOUISVILLE, KY 40208-2344
- **Mailing address phone:** (502) 640-6137
- **Mailing address fax:** (502) 237-4092

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2024
- **Last updated:** 05/09/2024