Organization
A NEW ORDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TUYHIEP MONICA LAWRENCE (DIRECTOR OF OPERATIONS)
(502) 618-0397
Entity
Organization
Contact information
Practice address
4335 HAZELWOOD AVE, LOUISVILLE, KY 40215-1111
(502) 618-0397
Mailing address
4335 HAZELWOOD AVE, LOUISVILLE, KY 40215-1111
(502) 618-0397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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