Organization
SURYA MENTAL WELLNESS LLC
Active
Other names
Colectivo Surya Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA THOMAS LPCA, CVE, M.ED. (BILINGUAL CLINICIAN)
(502) 519-7979
Entity
Organization
Contact information
Practice address
1939 GOLDSMITH LN STE 260, LOUISVILLE, KY 40218-3174
(502) 519-7979
(502) 792-7274
Mailing address
1939 GOLDSMITH LN STE 260, LOUISVILLE, KY 40218-3174
(502) 519-7979
(502) 792-7274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
171R00000X
Interpreter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100756220
—
KY
Enumeration date
05/11/2021
Last updated
11/14/2023
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