Alta Vista Counseling LLC
Organization Active NPI Marriage & Family Therapist · Louisville, KY
NPI 1013744747 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1013744747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- ALTA VISTA COUNSELING LLC
- Practice address
- 130 Fairfax Ave Lowr Levelc
Louisville, KY 40207-4939 - Phone
- (502) 593-2618
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Mary Southgate Clay Edinger
- Title
- Co-Owner
- Phone
- (502) 593-2618
Practitioners 1
National Provider Directory
Locations
130 Fairfax Ave
Lowr Levelc
Louisville, KY 40207
Phone (502) 593-2618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
130 Fairfax Ave Lowr Levelc
Louisville, KY 40207-4939
Mailing address
130 Fairfax Ave Lowr Levelc
Louisville, KY 40207-4939
Phone (502) 593-2618
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All providers in Louisville, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.