Organization
JUBALIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA FAYE BAKER M.DIV (PRESIDENT)
(502) 403-1086
Entity
Organization
Contact information
Practice address
8401 SHELBYVILLE RD, SUITE 203, LOUISVILLE, KY 40222-5586
(502) 403-1086
(502) 403-1074
Mailing address
PO BOX 221096, LOUISVILLE, KY 40252-1096
(502) 403-1086
(502) 403-1074
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/15/2007
Last updated
08/22/2020
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