Organization
STL BEHAVIORAL HEALTH INDIVIDUAL & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY BAKER (MANAGER)
(502) 387-7198
Entity
Organization
Contact information
Practice address
2210 GOLDSMITH LN STE 116C, LOUISVILLE, KY 40218-1038
(502) 387-7198
Mailing address
PO BOX 16851, LOUISVILLE, KY 40256-0851
(502) 387-7198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
08/01/2022
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