Organization
THE METHODIST HOME OF KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LAVY-JOY LCSW (VICE PRESIDENT OF PROGRAMS AND SERV)
(859) 523-4651
Entity
Organization
Contact information
Practice address
1115 ASHGROVE ROAD, NICHOLASVILLE, KY 40356
(859) 523-3001
(859) 241-3787
Mailing address
PO BOX 930, NICHOLASVILLE, KY 40340-9800
(859) 523-3001
(859) 241-3787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
500035
KY
251B00000X
Case Management Agency
500325
KY
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
500035
KY
3245S0500X
Children's Substance Abuse Rehabilitation Facility
500035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100277030
—
KY
05
—
7100278700
—
KY
05
—
7100278730
—
KY
05
—
7100280770
—
KY
05
—
7100291300
—
KY
Enumeration date
12/29/2010
Last updated
04/26/2018
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