Individual
MS. RACHELLE FELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3991 DUTCHMANS LANE, SUITE 405, LOUISVILLE, KY 40207-4723
(502) 899-3366
(502) 899-2670
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-3475
(502) 629-3455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100137520
—
KY
01
—
800013959
RAILROAD MEDICARE
KY
01
—
CK5471
RAIROAD MEDICARE
KY
Enumeration date
03/21/2006
Last updated
10/26/2018
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