Organization
EPIPHANY PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING ADMIN)
(502) 630-2036
Entity
Organization
Contact information
Practice address
711 BRENDON HILLS PL, LOUISVILLE, KY 40245-5718
(313) 408-1905
Mailing address
711 BRENDON HILLS PL, LOUISVILLE, KY 40245-5718
(313) 408-1905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
02/05/2024
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