Organization
SPLENDID SCARAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RENEE MAUPIN LMFT (MARRIAGE AND FAMILY THERAPIST)
(502) 735-1338
Entity
Organization
Contact information
Practice address
4169 WESTPORT RD STE 120, LOUISVILLE, KY 40207-2747
(502) 735-1338
Mailing address
4169 WESTPORT RD STE 120, LOUISVILLE, KY 40207-2747
(502) 735-1338
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
04/21/2026
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