Organization
1ST PRIORITY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENECA G DAVIDSON (CEO)
(336) 413-8765
Entity
Organization
Contact information
Practice address
4229 BARDSTOWN RD STE 201, LOUISVILLE, KY 40218-3286
(502) 286-6565
(502) 286-6565
Mailing address
1191 SALEM LAKE RD, WINSTON SALEM, NC 27107-1550
(336) 413-8765
(502) 286-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100695520
—
KY
Enumeration date
08/14/2020
Last updated
02/07/2023
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