Organization
MINDFUL DIRECTION COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETE M ANSERA D.MIN, MFT, LCADC (EXECUTIVE DIRECTOR)
(502) 653-7439
Entity
Organization
Contact information
Practice address
4602 SOUTHERN PKWY STE 2C, LOUISVILLE, KY 40214-1442
(502) 653-7439
(855) 894-9366
Mailing address
4602 SOUTHERN PKWY STE 2C, LOUISVILLE, KY 40214-1442
(502) 653-7439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
800195
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100527180
—
KY
Enumeration date
09/23/2015
Last updated
08/18/2021
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