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Organization

LOUISVILLE CENTER FOR THERAPY AND PERSONAL SUSTAINABILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ANTHONY FARSETTI MT-BC (MANAGING DIRECTOR)
(502) 418-2089
Entity
Organization

Contact information

Practice address
1974 DOUGLASS BLVD STE 8, LOUISVILLE, KY 40205-1826
(502) 694-0919
Mailing address
1010 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1854
(502) 418-2089

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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