Individual
ELLIE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
3834 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1302
(502) 822-1663
Mailing address
3834 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1302
(502) 822-1663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
290645
KY
Other
Enumeration date
03/11/2021
Last updated
04/26/2024
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