Haley Rose Lautenbach, LPCA
Individual provider Active NPI Mental Health Counselor · Jeffersontown, KY
NPI 1093560773 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1093560773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 287756 (KY)
- Practice address
- 9234 Wendell Cir Apt 34
Jeffersontown, KY 40299-1647 - Phone
- (502) 435-1256
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287756 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 287756 | KY | Yes |
Addresses
Primary practice location
9234 Wendell Cir Apt 34
Jeffersontown, KY 40299-1647
Mailing address
9234 Wendell Cir Apt 34
Jeffersontown, KY 40299-1647
Phone (502) 396-8392
Other providers in Jeffersontown, KY
- Caroline Sue Jones
- Amanda M Kemp
- William E Kemper
- Kentucky CVS Pharmacy, L.L.C
- Neil Langschied
- M&M Meds Inc
- Vanessa Marie Martinez
- Maryellen McCarthy
- Julie A Mikesell
- Kandice Makayla Nixon
All providers in Jeffersontown, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 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.