Organization
COMMUNITY SUPPORT OUTREACH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHONDA ROBERTSON (OWNER)
(502) 612-5495
Entity
Organization
Contact information
Practice address
1827 W BROADWAY, LOUISVILLE, KY 40203-3547
(502) 963-5792
(502) 653-7063
Mailing address
11126 COMPASS AVE, LOUISVILLE, KY 40229-8391
(502) 612-5495
(502) 653-7063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us