Organization
TERA BUERKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA M BUERKLE M.S. (LICENSED MARRIAGE & FAMILY THERAPY)
(859) 359-8266
Entity
Organization
Contact information
Practice address
1711 BARDSTOWN RD STE 201, LOUISVILLE, KY 40205-2258
(859) 359-8266
Mailing address
1711 BARDSTOWN RD STE 201, LOUISVILLE, KY 40205-2258
(859) 359-8266
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841861689
NPI 1
—
01
—
289138
KENTUCKY BOARD OF LICENSURE FOR MARRIAGE AND FAMILY THERAPISTS
KY
Enumeration date
11/02/2021
Last updated
06/20/2025
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