Organization
FACES OF CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE SANDERS (MANAGER)
(502) 630-2036
Entity
Organization
Contact information
Practice address
2809 W MARKET ST, LOUISVILLE, KY 40212-1846
(502) 303-7665
(502) 632-1432
Mailing address
2809 W MARKET ST, LOUISVILLE, KY 40212-1846
(502) 303-7665
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251S00000X
TAXONOMY
KY
Enumeration date
09/11/2021
Last updated
09/11/2021
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