Organization
GREENLIGHT4U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN RENTERIA-EVANS LPCA (PROFESSIONAL COUNSELOR)
(812) 841-1767
Entity
Organization
Contact information
Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 882-0240
Mailing address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 882-0240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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