Organization
TRIPLE CROWN COUNSELING
Active
Other names
Shannon McMillan
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GAIL HALL (MEDICAL BILLER AND CREDENTIALER)
(502) 931-4065
Entity
Organization
Contact information
Practice address
105 LYNDON LN, LOUISVILLE, KY 40222-5550
(502) 509-3178
(502) 509-0249
Mailing address
105 LYNDON LN, LOUISVILLE, KY 40222-5550
(502) 509-3178
(502) 509-0249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100779020
—
KY
Enumeration date
05/12/2022
Last updated
06/09/2022
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