Organization
GETTING BACK ON TRACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADREANA M LOWERY (MEMBER)
(502) 677-9188
Entity
Organization
Contact information
Practice address
3135 W KENTUCKY ST, LOUISVILLE, KY 40211-1507
(502) 677-9188
Mailing address
3135 W KENTUCKY ST, LOUISVILLE, KY 40211-1507
(502) 677-9188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101040620
—
KY
Enumeration date
10/24/2024
Last updated
05/23/2025
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