Organization
TRAVELERS TRANSITIONAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARDO GOODE (CREDENTIALING ADMIN)
(502) 408-2906
Entity
Organization
Contact information
Practice address
4408 DIXIE HWY, LOUISVILLE, KY 40216-2822
(502) 408-2906
Mailing address
PO BOX 9362, LOUISVILLE, KY 40209-0362
(502) 408-2906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106H00000X
—
KY
Enumeration date
03/07/2021
Last updated
07/14/2025
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