Organization
NULEASE MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CALES (OWNER)
(502) 492-7455
Entity
Organization
Contact information
Practice address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222
Mailing address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001064305
ANTHEM
KY
01
—
50126591
PASSPORT
KY
05
—
7100498520
—
KY
05
—
7100656070
—
KY
05
—
7100656380
—
KY
Enumeration date
06/12/2017
Last updated
02/25/2026
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