Organization
EAST LOUISVILLE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN MAUGANS-SMITH LCSW (CHIEF EXECUTIVE OFFICER)
(502) 592-8525
Entity
Organization
Contact information
Practice address
714 LYNDON LN, SUITE 7, LOUISVILLE, KY 40222-4643
(502) 592-8525
(502) 425-2540
Mailing address
714 LYNDON LN, SUITE 7, LOUISVILLE, KY 40222-4643
(502) 592-8525
(502) 425-2540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1293
KY
Other
Enumeration date
12/17/2006
Last updated
08/22/2020
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