Organization
NEW LEAF CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA WALKER MD (PSYCHIATRIST/CEO)
(502) 851-3556
Entity
Organization
Contact information
Practice address
2910 W JEFFERSON ST, LOUISVILLE, KY 40212
(502) 435-8321
Mailing address
13606 RUNNING SKY CT, LOUISVILLE, KY 40299-8446
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
48956
KY
Other
Enumeration date
11/09/2017
Last updated
06/22/2018
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