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Organization

BLACK COUCH THERAPY, LLC

Active
Other names
Black Couch Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIRSTEN DOAN LCSW (OWNER; THERAPIST)
(502) 424-5635
Entity
Organization

Contact information

Practice address
1860 MELLWOOD AVE # 194, LOUISVILLE, KY 40206-1033
(502) 424-5635
Mailing address
9152 TAYLORSVILLE RD # 266, LOUISVILLE, KY 40299-1752
(502) 424-5635

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101053210
KY
Enumeration date
03/07/2025
Last updated
06/07/2025
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