Organization
KENTUCKY MENTAL HEALTH CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NALLEY (CEO)
(502) 690-1511
Entity
Organization
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 233-3030
(502) 719-8161
Mailing address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 233-3030
(502) 719-8161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
07/20/2023
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