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Organization

4 STAR GUIDANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KEISHA KEY (CEO)
(502) 488-4002
Entity
Organization

Contact information

Practice address
6515 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 488-4002
(502) 488-4002
Mailing address
6515 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 488-4002
(502) 488-4002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800291
KY
Enumeration date
07/02/2018
Last updated
03/05/2021
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