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Organization

DEVELOPING YOUNG MINDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRIN KEITH LEE JR. (OWNER)
(502) 384-9371
Entity
Organization

Contact information

Practice address
517 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2127
(502) 384-9371
Mailing address
517 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2127
(502) 384-9371

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103T00000X
Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
106E00000X
Assistant Behavior Analyst
106H00000X
Marriage & Family Therapist
Primary
106S00000X
Behavior Technician
224Z00000X
Occupational Therapy Assistant
225A00000X
Music Therapist
225X00000X
Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
235Z00000X
Speech-Language Pathologist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
261QD1600X
Developmental Disabilities Clinic/Center

Other

Enumeration date
10/10/2024
Last updated
05/22/2025
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