Organization
KENTUCKIANA BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD EDWARD GOEPPER (REGISTERED AGENT)
(502) 254-7994
Entity
Organization
Contact information
Practice address
938 E WASHINGTON ST STE 2, LOUISVILLE, KY 40206-1634
(502) 548-1146
Mailing address
324 TUCKER STATION RD, LOUISVILLE, KY 40243-1359
(502) 254-7994
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/20/2010
Last updated
01/11/2026
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