Organization
TRANSCENDENCE FORGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MONROE HICKMAN (OWNER)
(502) 408-3835
Entity
Organization
Contact information
Practice address
2110 PALATKA RD, LOUISVILLE, KY 40214-3314
(502) 408-3835
Mailing address
2110 PALATKA RD, LOUISVILLE, KY 40214-3314
(502) 408-3835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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