Organization
VITAE HEALTH MEDICAL KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LASHLEY (PRESIDENT)
(201) 217-6777
Entity
Organization
Contact information
Practice address
3500 GOOD SAMARITAN WAY, LOUISVILLE, KY 40299-6117
(201) 217-6777
Mailing address
980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-3315
(201) 217-6777
(312) 276-8854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/06/2020
Last updated
05/28/2026
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