# USPIRITUS- BROOKLAWN- MAGNOLIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** USPIRITUS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982558318
- **Legal business name:** USPIRITUS, INC
- **Authorized official:** JILLIAN DETHERAGE (DIRECTOR OF COMPLIANCE & QI)
- **Authorized official phone:** (502) 515-0425

## Contact information

- **Practice address:** 2111 GOLDSMITH LN, LOUISVILLE, KY 40218-1206
- **Practice address phone:** (502) 451-5177
- **Mailing address:** 3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
- **Mailing address phone:** (502) 451-5177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2026
- **Last updated:** 02/23/2026