Organization
BELL TOWER RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MITCHELL (CREDENTIALING AGENT)
(502) 654-3927
Entity
Organization
Contact information
Practice address
516 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2128
(502) 235-9534
(502) 324-3134
Mailing address
516 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2128
(502) 235-9534
(502) 324-3134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100789220
—
KY
Enumeration date
01/04/2022
Last updated
04/04/2024
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