Organization
ASPIRE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN SUPPLE PSYD (PSYCHOLOGIST)
(615) 574-5957
Entity
Organization
Contact information
Practice address
2321 LIME KILN LN STE A, LOUISVILLE, KY 40222-3410
(502) 771-1183
Mailing address
2321 LIME KILN LN STE A, LOUISVILLE, KY 40222-3410
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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