Organization
SAGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ROY (CREDENTIALING DIRECTOR)
(270) 585-4306
Entity
Organization
Contact information
Practice address
8719 SHADOW CREEK WAY, LOUISVILLE, KY 40291-2750
(502) 215-3338
Mailing address
8719 SHADOW CREEK WAY, LOUISVILLE, KY 40291-2750
(502) 215-3338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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