Organization
PATH TO TRANSFORMATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS CROOK (OWNER)
(502) 322-7071
Entity
Organization
Contact information
Practice address
271 W SHORT ST STE 410, LEXINGTON, KY 40507-1213
(502) 322-7071
Mailing address
16802 POLO FIELDS LN, LOUISVILLE, KY 40245-4456
(502) 322-7071
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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