Organization
SHELBY COUNSELING ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE JEANINE BROYLES (OFFICE MANAGER)
(502) 254-8880
Entity
Organization
Contact information
Practice address
12701 TOWNEPARK WAY, BARKLEY BLDG STE 200, LOUISVILLE, KY 40243-2387
(502) 254-8880
(502) 254-8870
Mailing address
12701 TOWNEPARK WAY, BARKLEY BLDG STE 200, LOUISVILLE, KY 40243-2387
(502) 254-8880
(502) 254-8870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332447
ANTHEM
KY
Enumeration date
09/24/2007
Last updated
04/24/2017
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