Organization
7CC KY1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA DONALDSON LCSW (CLINICAL DIRECTOR)
(502) 295-5326
Entity
Organization
Contact information
Practice address
1905 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1018
(502) 295-5326
Mailing address
1905 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1018
(502) 295-5326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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