Individual
EVA ARCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3934 DIXIE HWY STE 330, LOUISVILLE, KY 40216-4170
(502) 409-4357
(502) 873-5048
Mailing address
3934 DIXIE HWY, STE 330, LOUISVILLE, KY 40216-4170
(502) 409-4357
(502) 409-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164871
KY
106H00000X
Marriage & Family Therapist
Primary
162990
KY
106H00000X
Marriage & Family Therapist
4101007322
MI
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
KY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100381410
—
KY
Enumeration date
04/09/2014
Last updated
01/20/2023
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