Organization
LOUISVILLE STRESS & TRAUMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMNER LAGOW LPCC, NCC (OWNER)
(209) 743-2480
Entity
Organization
Contact information
Practice address
7410 NEW LAGRANGE RD, SUITE 204, LOUISVILLE, KY 40222
(209) 743-2480
Mailing address
7410 NEW LAGRANGE RD, SUITE 204, LOUISVILLE, KY 40222
(209) 743-2480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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