Individual
MOTSELISI MOSEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 LYNDON LN, 6, LOUISVILLE, KY 40222-4643
(502) 851-8831
(502) 326-8970
Mailing address
714 LYNDON LN, STE 6, LOUISVILLE, KY 40222-4643
(502) 851-8831
(502) 326-8970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105587
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16896707952
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
KY
05
—
7100282460
—
KY
Enumeration date
03/14/2007
Last updated
01/24/2024
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