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Individual

BETH WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(574) 546-1900
(574) 546-1999
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261678
KY
101YM0800X
Mental Health Counselor
Primary
274891
KY
101YP2500X
Professional Counselor
Primary
274891
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261678
LPCA
KY
Enumeration date
01/06/2020
Last updated
05/06/2026
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