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Organization

OAK & ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES SHAWN OAK LMFT, LCSW (PRESIDENT/CEO)
(502) 792-0667
Entity
Organization

Contact information

Practice address
2210 GOLDSMITH LN STE 104, LOUISVILLE, KY 40218-1038
(502) 792-0667
(502) 416-0467
Mailing address
3303 AUDUBON RIDGE DR, LOUISVILLE, KY 40213-1022
(502) 594-2829
(502) 416-0467

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33006299A
IN
106H00000X
Marriage & Family Therapist
0750
KY
106H00000X
Marriage & Family Therapist
Primary
104010
KY
106H00000X
Marriage & Family Therapist
35001769A
IN
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
261QM1300X
Multi-Specialty Clinic/Center
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100463700
KY
Enumeration date
12/17/2010
Last updated
06/29/2019
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