Organization
ANTOINETTE'S TCM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE MARTIN TCM (EXECUTIVE DIRECTOR/LEAD TCM)
(502) 975-9412
Entity
Organization
Contact information
Practice address
620 S 3RD ST STE 204, LOUISVILLE, KY 40202-2445
(502) 255-1049
(502) 360-9167
Mailing address
4621 OUTER LOOP STE 175, LOUISVILLE, KY 40219-3970
(502) 255-1049
(502) 360-9167
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
05/15/2026
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