Individual
RACHEL GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-CADC, TCM, APSS
Contact information
Practice address
134 CATHY WAY, LOUISVILLE, KY 40229-3286
(502) 381-5208
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
(502) 222-2389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
279087
KY
171M00000X
Case Manager/Care Coordinator
202232
KY
175T00000X
Peer Specialist
279087
KY
Other
Enumeration date
04/18/2023
Last updated
04/19/2023
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