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Organization

THE NEW TEMPLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DYNEESHA TEMPLE (OWNER)
(502) 302-2567
Entity
Organization

Contact information

Practice address
2622 VIRGINIA AVE, LOUISVILLE, KY 40211-3415
(502) 819-1631
Mailing address
2620 VIRGINIA AVE, LOUISVILLE, KY 40211-3415
(502) 819-1631

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101075470
KY
Enumeration date
01/11/2025
Last updated
09/13/2025
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