Organization
ACCESS COMMUNITY ASSISTANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN B. STOKES (EXECUTIVE DIRECTOR)
(502) 899-3205
Entity
Organization
Contact information
Practice address
159 SAINT MATTHEWS AVE, SUITE 10, LOUISVILLE, KY 40207-3137
(502) 899-3205
(502) 899-7105
Mailing address
159 SAINT MATTHEWS AVE, SUITE 10, LOUISVILLE, KY 40207-3137
(502) 899-3205
(502) 899-7105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17000894
—
KY
Enumeration date
02/11/2008
Last updated
06/06/2008
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