Individual
MISS MICHELLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSS
Contact information
Practice address
2512 PORTLAND AVE SUITE 101, LOUISVILLE, KY 40212-1093
(502) 501-3788
(502) 999-9910
Mailing address
2512 PORTLAND AVE SUITE 101, LOUISVILLE, KY 40212
(502) 501-3788
(502) 999-9910
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1220728
KY
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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