Organization
GREEN LINE WELLNESS PLLC
Active
Other names
Green Line Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA LINEBARGER PSYD (CO-OWNER)
(502) 509-7357
Entity
Organization
Contact information
Practice address
714 LYNDON LN, SUITE ONE, LOUISVILLE, KY 40222-4643
(502) 509-7357
Mailing address
714 LYNDON LN, SUITE ONE, LOUISVILLE, KY 40222-4643
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1658
KY
Other
Enumeration date
06/20/2012
Last updated
07/04/2012
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