Organization
HAGAN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HAGAN MD (OWNER)
(502) 326-3011
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4847
(502) 326-3011
(502) 324-4577
Mailing address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4847
(502) 326-3011
(502) 324-4577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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