Organization
STEPHCLEMM ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JO CLEMMONS LPCC (OWNER)
(502) 291-4094
Entity
Organization
Contact information
Practice address
214 BRECKENRIDGE LN STE 203, LOUISVILLE, KY 40207-3879
(502) 200-9836
Mailing address
3917 HYCLIFFE AVE, LOUISVILLE, KY 40207-3838
(502) 291-4094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/14/2022
Last updated
06/28/2023
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