Organization
SUBLIME HEALING LLC
Active
Other names
Sublime Healing
Organization subpart
No
Provider details
NPI number
Authorized official
KANDACE M BARKHAM LCSW, LCADC (OWNER)
(502) 408-5567
Entity
Organization
Contact information
Practice address
8134 NEW LA GRANGE RD STE 228, LOUISVILLE, KY 40222-4678
(502) 408-5677
Mailing address
7549 MANSLICK RD, LOUISVILLE, KY 40214-4182
(502) 408-5567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100914830
—
KY
Enumeration date
04/15/2024
Last updated
09/29/2024
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