Organization
ATHENA HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELETE MORELAND (IRECTOR)
(502) 804-8003
Entity
Organization
Contact information
Practice address
2515 7TH STREET RD, LOUISVILLE, KY 40208-1070
(502) 425-7659
(502) 425-7658
Mailing address
2515 7TH STREET RD, LOUISVILLE, KY 40208-1070
(502) 618-0321
(502) 618-0319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
3005483
KY
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000932983
ANTHEM
KY
01
—
50086582
PASSPORT
KY
01
—
50094140
PASSPORT
KY
01
—
5679922
AETNA
KY
05
—
7100351080
—
KY
Enumeration date
03/25/2015
Last updated
07/16/2025
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