Organization
BLAWESOME CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSIE SIDES LCDC (OWNER)
(502) 650-3928
Entity
Organization
Contact information
Practice address
11118 SANDWOOD PL, LOUISVILLE, KY 40272-5301
(502) 650-3928
Mailing address
11118 SANDWOOD PL, LOUISVILLE, KY 40272-5301
(502) 650-3928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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