Individual
LIBERTY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 WELBY RD, LOUISVILLE, KY 40216-1519
(502) 665-9153
Mailing address
26 WELBY RD, LOUISVILLE, KY 40216-1519
(502) 665-9153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW00001198
KY
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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